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SUMMIT RETINA CONSULTANTS, P.C.
NPI 1124359708
Ophthalmology in Fort Wayne, IN

Active since January 21, 2010
6435 W JEFFERSON BLVD # 203, FORT WAYNE, IN 46804(260) 515-2778 Get Directions Write a Review

NPPES record last updated: January 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summit Retina Consultants, P.c. NPPES

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

SUMMIT RETINA CONSULTANTS, P.C. (NPI 1124359708) is a healthcare organization registered as an ophthalmology in Fort Wayne, Indiana and active in the NPI registry since January 2010. The organization lists Velimir Petrovic, President, as its authorized official.

NPPES Registry Identity

NPI1124359708
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSUMMIT RETINA CONSULTANTS, P.C.
Location Address6435 W JEFFERSON BLVD # 203Fort Wayne, IN 46804-6203
Mailing Address6435 W Jefferson Blvd # 203Fort Wayne, IN 46804-6203
Phone(260) 515-2778
Organization SubpartNo
Authorized OfficialVelimir PetrovicPresident · (260) 515-2778
Enumeration DateJanuary 21, 2010
✔ NPI 1124359708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in IN · 50005075A
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.
6435 W JEFFERSON BLVD # 203, Fort Wayne, IN 46804
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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

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 Summit Retina Consultants, P.C.'s NPI number?

The NPI number for Summit Retina Consultants, P.C. is 1124359708. It was assigned to this organization in the NPPES registry on January 21, 2010.

Where is Summit Retina Consultants, P.C. located?

Summit Retina Consultants, P.C. is located at 6435 W Jefferson Blvd # 203, Fort Wayne, IN 46804. The listed phone number is (260) 515-2778.

What is Summit Retina Consultants, P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Summit Retina Consultants, P.C. was last updated on January 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.