OrganizationActive
Indiana Retina Center LLC
NPI 1518609429 · Retina Specialist (Ophthalmology) Physician · Fort Wayne, IN
Provider details
- NPI number
- 1518609429
- Entity type
- Organization
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Kim, President(260) 305-2822
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7802 W Jefferson Blvd Ste a
Fort Wayne, IN 46804-4138
Phone: (260) 305-2822
Fax: (260) 305-2829
Street-level locationGet directions
Mailing address
7802 W Jefferson Blvd Ste a
Fort Wayne, IN 46804-4138
Other names (DBA / former)
- Doing business as
- Indiana Retina Center
- Doing business as
- Indiana Retina Center
Registry dates
- Enumerated
- 2022-04-11
- Last updated
- 2026-03-03
- Certified
- 2026-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.