# MIDWEST EYE RETINA AND ONCOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376469064
- **Authorized official:** ANGEL SMITH (MANAGER)
- **Authorized official phone:** (317) 805-2161

## Contact information

- **Practice address:** 11220 ILLINOIS ST STE 130, CARMEL, IN 46032-9847
- **Practice address phone:** (317) 817-1586
- **Practice address fax:** (317) 817-1399
- **Mailing address:** 11220 ILLINOIS ST STE 130, CARMEL, IN 46032-9847
- **Mailing address phone:** (317) 817-1586
- **Mailing address fax:** (317) 817-1399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |
| 261QX0200X | Oncology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/26/2026
- **Last updated:** 07/21/2026
