Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Indiana Retina Center LLC

Organization Retina Specialist (Ophthalmology) Physician · NPI 1518609429

Indiana Retina Center LLC provides Retina Specialist (Ophthalmology) Physician services in Fort Wayne, Indiana. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7802 W Jefferson Blvd Ste A
Fort Wayne, IN 46804-4138
Phone: (260) 305-2822
Fax: (260) 305-2829
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X

Record details

NPI number1518609429
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Kim — President · (260) 305-2822
Other names Indiana Retina Center; Indiana Retina Center
NPI enumeratedApril 11, 2022
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address7802 W Jefferson Blvd Ste A, Fort Wayne, IN 46804-4138

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