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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GRANGER RETINA CENTER PC
NPI 1346155611
Ophthalmology - Retina Specialist in Fort Wayne, IN

Active since August 19, 2026
2288 BANYAN HILL CT, FORT WAYNE, IN 46814(225) 573-9954 Get Directions Write a Review

NPPES record added: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Granger Retina Center Pc NPPES

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

GRANGER RETINA CENTER PC (NPI 1346155611) is a healthcare organization registered as a retina specialist in Fort Wayne, Indiana and active in the NPI registry since August 2026. The organization lists Jason Min So, President, as its authorized official.

NPPES Registry Identity

NPI1346155611
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameGRANGER RETINA CENTER PC
Location Address2288 BANYAN HILL CTFort Wayne, IN 46814-9590
Mailing Address2288 Banyan Hill CtFort Wayne, IN 46814-9590
Phone(225) 573-9954
Organization SubpartNo
Authorized OfficialJason Min SoPresident · (225) 573-9954
Enumeration DateAugust 19, 2026
NPPES CertifiedAugust 18, 2026
✔ NPI 1346155611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
2288 BANYAN HILL CT, Fort Wayne, IN 46814
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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 Granger Retina Center PC's NPI number?

The NPI number for Granger Retina Center PC is 1346155611. It was assigned to this organization in the NPPES registry on August 19, 2026.

Where is Granger Retina Center PC located?

Granger Retina Center PC is located at 2288 Banyan Hill Ct, Fort Wayne, IN 46814. The listed phone number is (225) 573-9954.

What is Granger Retina Center PC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

When was this NPI record last updated?

The NPPES record for Granger Retina Center PC was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.