CORY EYECARE PTR (NPI# 1033379987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033379987 |
Entity Type | Organization |
Organization Name | CORY EYECARE PTR |
Practice Address |
6509 Central Ave Portage IN 46368-3101 |
Practice Telephone | 2197624801 |
Practice Fax Number | 2197649974 |
Mailing Telephone | 2197624801 |
Mailing Fax Number | 2197649974 |
Enumeration Date | 2008-06-13 |
Last Update Date | 2009-01-14 |
Authorized Official Name | DR. KIM P CORY (OWNER) |
Authorized Official Telephone | 2197624801 |
Authorized Official Credential | OD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
Street Address |
6509 CENTRAL AVE |
City | PORTAGE |
State | IN |
Zip Code | 46368-3101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164498945 | Kim P Cory | Optometrist | 6509 Central Ave, Portage, IN 46368-3101 | 2006-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
Find all providers in zip 46368 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598080897 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 6780 S Westnedge Avenue, Crossroads Mall, Portage, MI 49024-3589 | 2010-03-30 |
1659602266 | Eyemart Express | Eyewear Supplier (Equipment, not the service) | 6483 S . Westnedge Ave., Portage, MI 49002-3542 | 2010-01-21 |
1265619951 | Eyeglass Acquisitions Inc | Eyewear Supplier (Equipment, not the service) | 410 E Center Ave, Portage, MI 49002 | 2008-01-25 |
1821134479 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 6410 S Westnedge Ave, Crossroads Galleria, Portage, MI 49002-3541 | 2007-01-30 |
1972660967 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 6780 S Wnedge, Crossroads Mall, Portage, MI 49024-3589 | 2007-01-02 |
1205859675 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 6580 S Wetnedge Ave, Portage, MI 49024 | 2006-07-25 |
1609274547 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 6483 S Westnedge Ave, Portage, MI 49002-3542 | 2014-12-09 |
1831533801 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 6050 Us Highway 6, Portage, IN 46368-5047 | 2013-04-22 |
1093080889 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 5121 S Westnedge Ave, Portage, MI 49002 | 2012-03-13 |
1003133943 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 6650 S Westnedge Ave, Crossroads Mall Ste #232, Portage, MI 49024-3597 | 2010-05-03 |
Find all providers in PORTAGE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.