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Contact Information

VITREO RETINAL CENTER PC
4221 WASHINGTON AVE
EVANSVILLE, IN47714
 Phone: 812-476-6500
 Fax: 812-476-6507
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for VITREO RETINAL CENTER PC

NPI Number 1841333036
LBN Legal business name VITREO RETINAL CENTER PC
Authorized official PRINCE SAMUEL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2007
Last updated 08/08/2018 - About 8 years ago
Identifiers
IN Medicaid 200885330A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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