Organization Active NPI

Retina Consultants of Indiana & Ohio, PC.

  • Ophthalmology Physician
  • Richmond, IN
National Provider Identifier
1083940936
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01045320 Issued in IN
Legal business name
RETINA CONSULTANTS OF INDIANA & OHIO, PC.
Practice address
2302 Chester Blvd
Richmond, IN 47374-1221
Phone
(765) 213-3238
Fax
(765) 284-2434
NPI assigned
Oct 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey S RapkinNPI 1144203274
Title
Owner/ Physician
Phone
(765) 759-0177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 01045320 IN Primary

Addresses

Primary practice location

2302 Chester Blvd
Richmond, IN 47374-1221

Mailing address

PO Box 112
Muncie, IN 47308-0112
Phone (765) 213-3238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100111000772 IN Part B Supplier - Clinic/Group Practice 9931240074 Receives reassigned benefits from 1 practitioner
Practice locations: Muncie, IN

National Provider Directory

National Provider Directory

Locations

115 Garwood Rd
Richmond, IN 47374
Phone (765) 288-1935

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1083940936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473080112",
            "telephone_number": "765-213-3238",
            "fax_number": "765-284-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741221",
            "telephone_number": "765-213-3238",
            "fax_number": "765-284-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA CONSULTANTS OF INDIANA & OHIO, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "RAPKIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "765-759-0177"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01045320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.