Retina Institute Of Indiana, P.c. is a Ophthalmology Clinic in Fort Wayne, Indiana. It is situated at 11188 Diebold Rd, Fort Wayne and its contact number is 260-483-9500. The authorized person of Retina Institute Of Indiana, P.c. is Dr. Gohar Azam Salam
who is Owner of the clinic and their contact number is 260-483-9500. Primary license number for Retina Institute Of Indiana, P.c. is 50004672A (Ophthalmology) in Indiana. Retina Institute Of Indiana, P.c. Clinic have ophthalmologists who have the knowledge and professional skills to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Complete Clinic Profile:
Retina Institute Of Indiana, P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Clinic Address:
11188 Diebold Rd, Fort Wayne, Indiana, 46845-9662
Phone:
260-483-9500
Fax:
260-483-9511
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Gohar Azam Salam
Position:
Owner
Contact Number:
260-483-9500
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Retina Institute Of Indiana, P.c. Clinic are as mentioned below.
NPI Number:
1457492167
NPI Enumeration Date:
08 Feb, 2007
NPI Last Update On:
17 Mar, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Retina Institute Of Indiana, P.c. are as mentioned below.
Specialization
License Number
State
Status
Ophthalmology
50004672A
Indiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000000364631
Other
Indiana
Anthem Blue Cross
17842
Other
Indiana
Php
200522580A
Medicaid
Indiana
7800696
Other
Indiana
Aetna
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Retina Institute Of Indiana, P.c. 11188 Diebold Rd., Fort Wayne, Indiana
Zip:
46845-1712
Phone Number:
260-483-9500
Fax Number:
260-483-9511
Patients can reach Retina Institute Of Indiana, P.c. at 11188 Diebold Rd, Fort Wayne, Indiana or can call to book an appointment on 260-483-9500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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