RETINA INSTITUTE OF INDIANA SURGERY CENTER, LLC
NPI 1730442559
Clinic/Center - Ambulatory Surgical in Fort Wayne, IN

Q: What is Retina Institute Of Indiana Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since June 18, 2012

11192 DIEBOLD RD, FORT WAYNE, IN 46845(260) 483-9500(260) 483-9511 Get Directions Write a Review

NPPES record last updated: March 3, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Retina Institute Of Indiana Surgery Center, Llc NPPES

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

RETINA INSTITUTE OF INDIANA SURGERY CENTER, LLC (NPI 1730442559) is a healthcare organization registered as an ambulatory surgical in Fort Wayne, Indiana and active in the NPI registry since June 2012. The organization lists Gohar Azam Salam, Sole Mbr, as its authorized official.

NPPES Registry Identity

NPI1730442559

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameRETINA INSTITUTE OF INDIANA SURGERY CENTER, LLC

Location Address11192 DIEBOLD RDFort Wayne, IN 46845-9662

Mailing Address11192 Diebold RdFort Wayne, IN 46845-9662 · (260) 483-9500 · Fax (260) 483-9511

Phone(260) 483-9500

Fax(260) 483-9511

Organization SubpartNo

Authorized OfficialGohar Azam SalamSole Mbr · (260) 483-9500

Enumeration DateJune 18, 2012

Last NPPES UpdateMarch 3, 2016

✔ NPI 1730442559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in IN · 13 012741 1

Also ListedOphthalmologyTaxonomy 207W00000X · License 01058885A (IN)

11192 DIEBOLD RD, Fort Wayne, IN 46845

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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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of membrane of retina 67041

Removal of the retina's membrane is a surgical procedure aimed at treating eye conditions affecting the retina's function. It involves a delicate operation to eliminate scar tissue or membranes causing vision problems. The procedure can help improve or stabilize vision.

16 services16 patients

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 Institute Of Indiana Surgery Center, LLC's NPI number?

The NPI number for Retina Institute Of Indiana Surgery Center, LLC is 1730442559. It was assigned to this organization in the NPPES registry on June 18, 2012.

Where is Retina Institute Of Indiana Surgery Center, LLC located?

Retina Institute Of Indiana Surgery Center, LLC is located at 11192 Diebold Rd, Fort Wayne, IN 46845. The listed phone number is (260) 483-9500.

What is Retina Institute Of Indiana Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Retina Institute Of Indiana Surgery Center, LLC was last updated on March 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.