Virata Retina Center LLC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

VIRATA RETINA CENTER LLC

Practice address

150 Professional CT Ste a
Lafayette, IN 47905-5153

Phone

(765) 573-8462

NPI assigned

May 13, 2021

Last updated

Oct 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven R Virata, MDNPI 1487628699

Title

Owner

Phone

(765) 573-8462

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven R Virata, MD, FACS

  • Retina Specialist (Ophthalmology) Physician
  • Lafayette, IN
  • NPI 1487628699
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1518531649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PROFESSIONAL CT STE A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055153",
            "telephone_number": "765-573-8462",
            "fax_number": "765-767-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PROFESSIONAL CT STE A",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055153",
            "telephone_number": "765-573-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRATA RETINA CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "VIRATA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-573-8462",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viaquest Hospice of Indiana, LLV
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• Prasert Vijitbenjaronk, M.D.
• Justin Villanueva, DMD, MSD, DHL
• Venkata Vindhyamuri
• Steven R Virata, MD, FACS
• Joel Andrew Virkler, D.O.
• Kaitlyn Voity, MD
• Corry Lynn Voll, OTR
• Carley E Voor, DPT

• Retina Specialist (Ophthalmology) Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Retina Specialist (Ophthalmology) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.