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

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: October 18, 2026.

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Greater Lafayette Retina Center, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Greater Lafayette Retina Center, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Rodney Kusumi, M.D.
Ophthalmology
NPI 1265458160
1013 N 13TH ST
Lafayette, IN 47904
(765) 428-8888
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Greater Lafayette Retina Center, P.C. enrolled in Medicare?

Yes. Greater Lafayette Retina Center, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Greater Lafayette Retina Center, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Greater Lafayette Retina Center, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.