GREATER LAFAYETTE RETINA CENTER, P.C.
NPI 1629280813
Ophthalmology in Lafayette, IN

Q: What is Greater Lafayette Retina Center, P.C.'s specialty?

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

Active since May 03, 2007

1013 N 13TH ST, LAFAYETTE, IN 47904(765) 428-8888(765) 428-8889 Get Directions Write a Review

NPPES record last updated: June 27, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Greater Lafayette Retina Center, P.c. NPPES

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

GREATER LAFAYETTE RETINA CENTER, P.C. (NPI 1629280813) is a healthcare organization registered as an ophthalmology in Lafayette, Indiana and active in the NPI registry since May 2007. The organization lists Phyllis M. Watkins, Billing Department, as its authorized official.

NPPES Registry Identity

NPI1629280813

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameGREATER LAFAYETTE RETINA CENTER, P.C.

Location Address1013 N 13TH STLafayette, IN 47904-2011

Mailing Address1013 N 13th StLafayette, IN 47904-2011 · (765) 428-8888 · Fax (765) 428-8889

Phone(765) 428-8888

Fax(765) 428-8889

Organization SubpartNo

Authorized OfficialPhyllis M. WatkinsBilling Department · (765) 428-8888

Enumeration DateMay 3, 2007

Last NPPES UpdateJune 27, 2014

✔ NPI 1629280813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in IN · 01057576A

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.

1013 N 13TH ST, Lafayette, IN 47904

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Other Identifiers 5

Medicare UPINH91897IN

Other01057576AIN · State License

OtherPOO176469IN · Railroad Medicare

Medicare ID-Type Unspecified219490IN

Medicaid200441070IN

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RODNEY B. KUSUMI M.D.

Ophthalmology

1013 N 13TH ST
LAFAYETTE, IN 47904

Tippecanoe County (765) 428-8888

ROBERT A MAINES RN

Registered Nurse (Administrator)

1013 N 13TH ST
LAFAYETTE, IN 47904

Tippecanoe County (765) 428-8888

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 Greater Lafayette Retina Center, P.C.'s NPI number?

The NPI number for Greater Lafayette Retina Center, P.C. is 1629280813. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Greater Lafayette Retina Center, P.C. located?

Greater Lafayette Retina Center, P.C. is located at 1013 N 13th St, Lafayette, IN 47904. The listed phone number is (765) 428-8888.

What is Greater Lafayette Retina Center, 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 Greater Lafayette Retina Center, P.C. was last updated on June 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.