GREATER LAFAYETTE RETINA CENTER, P.C.


Address: 1013 N 13th St, Lafayette, IN 47904-2011
Phone: 7654288888

GREATER LAFAYETTE RETINA CENTER, P.C. (NPI# 1629280813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629280813
Entity Type Organization
Organization Name GREATER LAFAYETTE RETINA CENTER, P.C.
Practice Address 1013 N 13th St
Lafayette
IN 47904-2011
Practice Telephone 7654288888
Practice Fax Number 7654288889
Mailing Telephone 7654288888
Mailing Fax Number 7654288889
Enumeration Date 2007-05-03
Last Update Date 2014-06-27
Authorized Official Name PHYLLIS M. WATKINS (BILLING DEPARTMENT)
Authorized Official Telephone 7654288888
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 01057576A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN STATE LICENSE 01057576A 01
IN RAILROAD MEDICARE POO176469 01
IN 200441070 05

Office Location

Street Address 1013 N 13TH ST
City LAFAYETTE
State IN
Zip Code 47904-2011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265458160 Rodney B. Kusumi Ophthalmology 1013 N 13th St, Lafayette, IN 47904-2011 2006-07-14
1720387921 Robert A Maines Registered Nurse 1013 N 13th St, Lafayette, IN 47904-2011 2011-03-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568998615 Angela Hands Physical Therapy Assistant 1260 North 17th Street, Lafayette, IN 47904 2017-05-11
1366894164 Kathryn Barnett Behavioral Analyst 2785 Cason St # 2, Lafayette, IN 47904 2016-07-06
1881972917 Rest Assured, LLC Durable Medical Equipment & Medical Supplies 180 Professional Ct., Lafayette, IN 47904 2011-07-22
1144514233 Michelle Cristin Singleton Dietitian, Registered 508 N 26th St, Lafayette, IN 47904 2011-06-06
1912134438 Jean D Trammel Marriage & Family Therapist 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 2009-06-11
1902946056 Terry Richard Baker Optometrist 2300 Sagamore Parkway S, Lafayette, IN 47904 2007-02-07
1891862165 Becki A Bowditch Inc Social Worker 2201 Ferry Street, Lafayette, IN 47904 2006-11-29
1326121849 James Lowell Thomas Pediatrics 2300 Ferry St, Lafayette, IN 47904 2006-10-21
1700976719 Michael Leonard Bagnoli Dentist 2020 Union Street, Suite 200, Lafayette, IN 47904 2006-10-13
1255428801 Lynn Arlen Pestle Dentist 2550 Elmwood Avenue, Lafayette, IN 47904 2006-10-06
Find all providers in zip 47904

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed 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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043653439 Emily Mcintosh Prouet Ophthalmology 155 Hospital Dr Ste 300, Lafayette, LA 70503 2013-04-16
1689930711 William Manfred Adler Ophthalmology 3751 St. Francis Dr., Lafayette, CA 94549 2012-04-03
1295021160 Kathleen M Williamson Ophthalmology 1400 Teal Rd Ste 8, Lafayette, IN 47905-2463 2011-06-20
1316106008 Mary Summers Ophthalmology 5000 Ambassador Caffery Pkwy Bldg 13, Lafayette, LA 70508-6984 2008-06-06
1760649024 Robert Jackson Courtney Ophthalmology 1050 W South Boulder Rd Ste 2100, Lafayette, CO 80026-2818 2008-05-22
1376733634 Lebanon Eye Associates Ophthalmology 1051 Scottsville Rd, Lafayette, TN 37083-2213 2007-08-01
1013125079 Anu Gupta Desai Ophthalmology 155 Hospital Drive, Suite 300, Lafayette, LA 70503 2007-05-21
1447475652 Julie Larkin Foreman Ophthalmology 203 Rue Louis Xiv Ste A, Lafayette, LA 70508-5736 2007-04-13
1619045192 Douglas S Conard Ophthalmology 214 N Farabee Drive, Lafayette, IN 47905 2006-12-01
1265458160 Rodney B. Kusumi Ophthalmology 1013 N 13th St, Lafayette, IN 47904-2011 2006-07-14
Find all providers in LAFAYETTE

Competitor

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City LAFAYETTE
Zip Code 47904

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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