Organization
FORT WAYNE RETINA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL P FINNEN M.D. (PRESIDENT)
(260) 433-0164
Entity
Organization
Contact information
Practice address
11220 ILLINOIS ST STE 150, CARMEL, IN 46032-8887
(317) 817-1822
(317) 817-1898
Mailing address
11220 ILLINOIS ST STE 150, CARMEL, IN 46032-8887
(317) 817-1822
(317) 817-1898
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01050629A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225014848
NPI
—
05
—
200218500
—
IN
05
—
200880960A
—
IN
01
—
DG0850
MEDICARE RAILROAD
IN
Enumeration date
06/01/2006
Last updated
05/07/2025
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