North Indiana Retina LLC

NPI #1316822216 in Mishawaka, Indiana

Provider Information

NPI Number: 1316822216
Entity Type: Organization
Organization Name: North Indiana Retina LLC
Primary Specialty: Ophthalmology
Enumeration Date: Aug 8, 2025
Last Updated: Jan 18, 2026

Practice Location

Address: 303 S MAIN ST STE 215
City: Mishawaka
State: Indiana
ZIP Code: 46544-2160
Phone: (574) 291-4000

Authorized Official

Name: PHILIP KUROCHKIN
Title: OWNER
Phone: (347) 541-4133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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