Greater Lafayette Retina Center, P.c.

NPI #1629280813 in Lafayette, Indiana

Provider Information

NPI Number: 1629280813
Entity Type: Organization
Organization Name: Greater Lafayette Retina Center, P.c.
Primary Specialty: Ophthalmology
Enumeration Date: May 3, 2007
Last Updated: Jun 27, 2014

Practice Location

Address: 1013 N 13TH ST
City: Lafayette
State: Indiana
ZIP Code: 47904-2011
Phone: (765) 428-8888

Authorized Official

Name: PHYLLIS M. WATKINS
Title: BILLING DEPARTMENT
Phone: (765) 428-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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