North Indiana Retina LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NORTH INDIANA RETINA LLC

Practice address

303 S Main St Ste 215
Mishawaka, IN 46544-2160

Phone

(574) 291-4000

Fax

(260) 279-3211

NPI assigned

Aug 8, 2025

Organization subpart

No

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

Authorized official

Name

Philip KurochkinNPI 1962931303

Title

Owner

Phone

(347) 541-4133

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 14

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

• Philip Kurochkin, MD

  • Ophthalmology Physician
  • Mishawaka, IN
  • NPI 1962931303
  Medicare reassignment NPD Authorized official
• Ruchita D Amin, M.D.

  • Ophthalmology Physician
  • Munster, IN
  • NPI 1235367467
  NPD (past)
• Thomas Omar Bennett, M.D.

  • Specialist
  • Merrillville, IN
  • NPI 1427051911
  NPD (past)
• Joel Eric Chasan, M.D.

  • Ophthalmology Physician
  • Merrillville, IN
  • NPI 1730522830
  NPD (past)
• Tsunkang Chiang, MD

  • Ophthalmology Physician
  • Merrillville, IN
  • NPI 1033745021
  NPD (past)
• James Arthur Eadie, M.D.

  • Ophthalmology Physician
  • Merrillville, IN
  • NPI 1205091097
  NPD (past)
• Richard Mark Lipman, M.D.

  • Specialist
  • Merrillville, IN
  • NPI 1730182361
  NPD (past)
• Christopher David Pelzek, M.D.

  • Ophthalmology Physician
  • Merrillville, IN
  • NPI 1669475281
  NPD (past)
• Sahana Vyas, M.D.

  • Ophthalmology Physician
  • Merrillville, IN
  • NPI 1851312326
  NPD (past)
• John Fraser Wilson, M.D.

  • Specialist
  • Merrillville, IN
  • NPI 1538162151
  NPD (past)
• Irma Ahmed, MD

  • Retina Specialist (Ophthalmology) Physician
  • Bolingbrook, IL
  • NPI 1447243407
  NPD (past)
• Preeti R Poley, M.D.

  • Ophthalmology Physician
  • Waynesboro, GA
  • NPI 1285819615
  NPD (past)

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768694400000",
    "number": "1316822216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST STE 215",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442160",
            "telephone_number": "574-291-4000",
            "fax_number": "260-279-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH INDIANA RETINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2026-01-18",
        "certification_date": "2026-01-18",
        "status": "A",
        "authorized_official_last_name": "KUROCHKIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-541-4133"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demetrous Nobles
• Helen Marie Norris, NP-C
• North American Partners in Anesthesia Indiana LLC
• North Indiana Rehab, Inc.
• North Indiana Rehab, Inc.
• Northern Brace Company Inc (Northern Brace Northern Prosthetics)
• Northern Indiana Interim Healthcare (Interim HomeStyle Services of South Bend)
• Northern Indiana Interim Healthcare Company LLC (Interim Healthcare of South Bend, IN)
• Marcista Northern
• Katherine Elizabeth Norton, BCBA

• Ophthalmology Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2026; 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.