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RETINA & VITREOUS L L C
NPI 1093999609
Ophthalmology in South Bend, IN

Active since December 19, 2007
53822 GENERATIONS DRIVE, SOUTH BEND, IN 46635(574) 233-3711(574) 288-1702 Get Directions Write a Review

NPPES record last updated: July 12, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Retina & Vitreous L L C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RETINA & VITREOUS L L C (NPI 1093999609) is a healthcare organization registered as an ophthalmology in South Bend, Indiana and active in the NPI registry since December 2007. The organization lists Robert T Lee, Partner, as its authorized official.

NPPES Registry Identity

NPI1093999609
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameRETINA & VITREOUS L L C
Location Address53822 GENERATIONS DRIVESouth Bend, IN 46635-1543
Mailing Address53822 Generations DriveSouth Bend, IN 46635-1543 · (574) 233-3711 · Fax (574) 288-1702
Phone(574) 233-3711
Fax(574) 288-1702
Organization SubpartNo
Authorized OfficialRobert T LeePartner · (574) 233-3711
Enumeration DateDecember 19, 2007
Last NPPES UpdateJuly 12, 2017
✔ NPI 1093999609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
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.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X
53822 GENERATIONS DRIVE, South Bend, IN 46635
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Other Identifiers 3

Medicaid200883090IN
Other000000549277IN · Anthem
Medicare PIN255360IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Retina & Vitreous L L C's NPI number?

The NPI number for Retina & Vitreous L L C is 1093999609. It was assigned to this organization in the NPPES registry on December 19, 2007.

Where is Retina & Vitreous L L C located?

Retina & Vitreous L L C is located at 53822 Generations Drive, South Bend, IN 46635. The listed phone number is (574) 233-3711.

What is Retina & Vitreous L L C's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

What insurance does Retina & Vitreous L L C accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Retina & Vitreous L L C as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Retina & Vitreous L L C was last updated on July 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.