Retina & Vitreous L L C
NPI 1093999609ActiveOrganization· Ophthalmology· South Bend, IN
Ophthalmology in South Bend, Indiana, registered in NPPES in December 2007. The authorized official on file is Robert T. Lee, MD, Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093999609 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2007 |
| Last updated in NPPES | Jul 12, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
| Ophthalmology, Retina Specialist | 207WX0107X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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