INDIANA RETINA CENTER LLC – NPI #1518609429
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Health Care Provider Taxonomy Code for Ophthalmology

INDIANA RETINA CENTER LLC is an ophthalmologist located in FORT WAYNE, IN. NPPES has assigned the NPI number 1518609429 to INDIANA RETINA CENTER LLC on April 11, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was last updated on Mar 03, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INDIANA RETINA CENTER LLC below.

NPI Profile for
INDIANA RETINA CENTER LLC

NPI Number
1518609429
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INDIANA RETINA CENTER LLC
Primary location
7802 W JEFFERSON BLVD STE A
FORT WAYNE, IN 46804-4138
Phone: (260) 305-2822 Fax: (260) 305-2829
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMES KIM
PRESIDENT
Phone: (260) 305-2822
Updated
Certification Date
Mar 03, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0107X
- Ophthalmology / Retina Specialist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.