Summit Retina Consultants, P.c.

NPI #1124359708 in Fort Wayne, Indiana

Provider Information

NPI Number: 1124359708
Entity Type: Organization
Organization Name: Summit Retina Consultants, P.c.
Primary Specialty: Ophthalmology
Enumeration Date: Jan 21, 2010
Last Updated: Jan 21, 2010

Practice Location

Address: 6435 W JEFFERSON BLVD # 203
City: Fort Wayne
State: Indiana
ZIP Code: 46804-6203
Phone: (260) 515-2778

Authorized Official

Name: VELIMIR PETROVIC, MD
Title: PRESIDENT
Phone: (260) 515-2778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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