Organization Active NPI

Midwest Eye Retina and Oncology LLC

  • Retina Specialist (Ophthalmology) Physician
  • Carmel, IN
National Provider Identifier
1376469064
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
MIDWEST EYE RETINA AND ONCOLOGY LLC
Practice address
11220 Illinois St Ste 130
Carmel, IN 46032-9847
Phone
(317) 817-1586
Fax
(317) 817-1399
NPI assigned
Jun 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Angel Smith
Title
Manager
Phone
(317) 805-2161

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X
Retina Specialist (Ophthalmology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0107X Primary
Oncology Clinic/Center 261QX0200X

Addresses

Primary practice location

11220 Illinois St Ste 130
Carmel, IN 46032-9847

Mailing address

11220 Illinois St Ste 130
Carmel, IN 46032-9847
Phone (317) 817-1586

National Provider Directory

National Provider Directory

Locations

11220 Illinois St
Ste 130
Carmel, IN 46032
Phone (317) 805-4586

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": "1782432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1376469064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 ILLINOIS ST STE 130",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329847",
            "telephone_number": "317-817-1586",
            "fax_number": "317-817-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 ILLINOIS ST STE 130",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329847",
            "telephone_number": "317-817-1586",
            "fax_number": "317-817-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EYE RETINA AND ONCOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-26",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-805-2161"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.