Vitreo Retinal Center PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

VITREO RETINAL CENTER PC

Practice address

4221 Washington Ave
Evansville, IN 47714

Phone

(812) 476-6500

Fax

(812) 476-6507

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Prince D Samuel, MD

Title

Owner

Phone

(812) 476-6500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Judith Ann Englert, M.D.

  • Ophthalmology Physician
  • Jasper, IN
  • NPI 1770583635
  NPD (past)
• Duane Charles Flannagan, M.D.

  • Ophthalmology Physician
  • Jasper, IN
  • NPI 1710957170
  NPD (past)
• Carissa Lynn Klaas I, MD

  • Ophthalmology Physician
  • Greenwood, IN
  • NPI 1740488378
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1841333036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 WASHINGTON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140675",
            "telephone_number": "812-476-6500",
            "fax_number": "812-476-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 WASHINGTON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47714",
            "telephone_number": "812-476-6500",
            "fax_number": "812-476-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITREO RETINAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-476-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200885330A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vision Service Corporation
• Visiting Nurse Association of Southwestern Indiana
• Visiting Nurse Plus, Inc.
• Vistacare USA, LLC
• Vitality DX LLC
• Julie D Vittori, NP
• Vituity-HM Services PC
• Vernon A Vix Jr., MD
• David Lennard Paclibare Vizconde, DMD
• Liliya Vladimirova

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.