Retina & Vitreous L L C

NPI #1093999609 in South Bend, Indiana

Provider Information

NPI Number: 1093999609
Entity Type: Organization
Organization Name: Retina & Vitreous L L C
Primary Specialty: Ophthalmology
Enumeration Date: Dec 19, 2007
Last Updated: Jul 12, 2017

Practice Location

Address: 53822 GENERATIONS DRIVE
City: South Bend
State: Indiana
ZIP Code: 46635-1543
Phone: (574) 233-3711

Authorized Official

Name: ROBERT T LEE, MD
Title: PARTNER
Phone: (574) 233-3711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology - Retina Specialist — Retina Specialist	207WX0107X
Ophthalmology	207W00000X	Primary

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