Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GRANGER RETINA CENTER PC
Active
Organization
GRANGER RETINA CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON MIN SO MD (PRESIDENT)
(225) 573-9954
Entity
Organization
Contact information
Practice address
2288 BANYAN HILL CT, FORT WAYNE, IN 46814-9590
(225) 573-9954
Mailing address
2288 BANYAN HILL CT, FORT WAYNE, IN 46814-9590
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
NULL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
08/19/2026
Last updated
08/19/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers