NPI 1124359708

Summit Retina Consultants, P.C.

Organisation Ophthalmology Physician Fort Wayne, IN

Practice location

Address: 6435 W Jefferson Blvd # 203, Fort Wayne, IN 46804-6203
Phone: (260) 515-2778

Authorised official

Name: Velimir Petrovic
Title: President
Phone: (260) 515-2778

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 50005075A (IN)

Other Ophthalmology providers in Indiana →

Registry record

NPI: 1124359708
Entity type: Organization
NPI issued: 21 Jan 2010
Record last updated: 21 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.