DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GREATER LAFAYETTE RETINA CENTER, P.C.

MEDICARE: GREATER LAFAYETTE RETINA CENTER, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician01057576AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2POO176469OTHERINRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101057576AOTHERINSTATE LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629280813
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREATER LAFAYETTE RETINA CENTER, P.C.
Provider Business Mailing Address
First Line : 1013 N 13TH ST
Second Line :
City : LAFAYETTE
State : IN
Zip : 47904-2011
Country : US
Telephone Number : 765-428-8888
Fax Number : 765-428-8889
Provider Business Practice Location Address
First Line : 1013 N 13TH ST
Second Line :
City : LAFAYETTE
State : IN
Zip : 47904-2011
Country : US
Telephone Number : 765-428-8888
Fax Number : 765-428-8889
Authorized Official
Title or Position : BILLING DEPARTMENT
Name : PHYLLIS M. WATKINS
Credential :
Telephone Number : 765-428-8888
Provider Enumeration Date : 05/03/2007
Last Update Date : 06/27/2014

Similar Medicare Providers

1265458160 — RODNEY B. KUSUMI M.D.
Practice Location Address:
1013 N 13TH ST
LAFAYETTE, IN
47904-2011
Practice Phone: 765-428-8888
Practice Fax: 765-428-8889
1780871673 — CYNTHIA KAY WHITED CST/CSFA
Practice Location Address:
1013 N. 13TH STREET
LAFAYETTE, IN
47904-2011
Practice Phone: 765-428-8888
Practice Fax: 765-428-8889
1720387921 — ROBERT A MAINES RN
Practice Location Address:
1013 N 13TH ST
LAFAYETTE, IN
47904-2011
Practice Phone: 765-428-8888
Practice Fax: 765-428-8889
1861914830 — SARAH MCKENZIE-FLOYD M.ED., LAT, ATC
Practice Location Address:
1801 S 18TH ST
LAFAYETTE, IN
47905-2011
Practice Phone: 567-377-3144
Practice Fax:
1598781288 — DAVID P WASSERMAN DO
Practice Location Address:
4525 LAFAYETTE RD STE A
INDIANAPOLIS, IN
46254-2011
Practice Phone: 317-821-7346
Practice Fax: 877-958-9065
1295951754 — MICHELLE MIGNON LECKLITNER DDS
Practice Location Address:
2011 KOSSUTH STREET
LAFAYETTE, IN
47905
Practice Phone: 765-447-4726
Practice Fax: 765-447-7891

Directions to “GREATER LAFAYETTE RETINA CENTER, P.C. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.