Highland Retina Associates, LLC
Ophthalmology, Retina Specialist in Terre Haute, IN. Organization (NPI-2).
NPI number1851840599
StatusActive
Last updated in NPPESDec 30, 2021
Details
- NPI
- 1851840599
- Entity type
- Organization (NPI-2)
- Legal business name
- Highland Retina Associates, LLC
- Organization subpart
- No
- Enumeration date
- Sep 22, 2016
- Certification date
- Dec 27, 2021
- Last updated
- Dec 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207WX0107X | Ophthalmology, Retina Specialist | 01077271A | IN | Yes |
Practice location
4621 E Margaret DrTerre Haute, IN 47803-9303
Phone 812-281-2608 · Fax 812-281-2610
Mailing address
4621 E Margaret DrTerre Haute, IN 47803-9303
Phone 812-281-2608 · Fax 812-281-2610
Authorized official
Alexander A Izad
Managing Member
8122812608
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