EYECARE INDIANA LL, PC (NPI# 1083970214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083970214 |
| Entity Type | Organization |
| Organization Name | EYECARE INDIANA LL, PC |
| Other Organization Name | C&B OPTICAL ONE |
| Practice Address |
1919 E. Markland Ave Kokomo IN 46901-6237 |
| Mailing Address |
4121 S. Michigan Street South Bend IN 46614-2545 |
| Practice Telephone | 7654598182 |
| Practice Fax Number | 7654595550 |
| Mailing Telephone | 5742919200 |
| Mailing Fax Number | 5742994423 |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |
| Authorized Official Name | TERRI PESCHKE (C.O.O.) |
| Authorized Official Telephone | 5742919200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| C&B Optical One | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548526700 | Eyecare Indiana Ll, PC | Optometrist | 1601 E. 80th Ave, Merrillville, IN 46410-5737 | 2012-04-02 |
| 1134485360 | Eyecare Indiana Ll, PC | Optometrist | 5325 N. Grape Rd, Mishawaka, IN 46545-1344 | 2012-04-02 |
| 1427314657 | Eyecare Indiana Ll, PC | Optometrist | 3540 N. Calumet Ave, Valparaiso, IN 46383-2246 | 2012-04-02 |
| 1598021727 | Eyecare Indiana Ll, PC | Optometrist | 3701 S. Main Street, Elkhart, IN 46517-3106 | 2012-04-02 |
| 1699031823 | Eyecare Indiana Ll, PC | Optometrist | 3701 Franklin Street, Michigan City, IN 46360-7310 | 2012-04-02 |
| 1346506573 | Eyecare Indiana Ll, PC | Optometrist | 12 Professional Court, Lafayette, IN 47905-5152 | 2012-04-02 |
| 1447516604 | Eyecare Indiana Ll, PC | Optometrist | 4121 S. Michigan Street, South Bend, IN 46614-2545 | 2012-04-02 |
| 1386910511 | Eyecare Indiana Ll, PC | Optometrist | 12479 State Road 23, Suite E, Granger, IN 46530-8040 | 2012-04-02 |
| Street Address |
1919 E. MARKLAND AVE |
| City | KOKOMO |
| State | IN |
| Zip Code | 46901-6237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607597 | Momentum Kokomo, LLC | Substance Abuse Rehabilitation Facility | 1236 N. Wabash Ave, Kokomo, IN 46901 | 2020-10-23 |
| 1457826869 | Jodi Gayle Lake | Developmental Therapist | 2523 Lorentson Ct, Kokomo, IN 46901 | 2018-10-11 |
| 1871088369 | Hope Behavioral Servies, LLC | Behavioral Analyst | 924 Clark St, Kokomo, IN 46901 | 2018-06-27 |
| 1255782306 | Forefront Dermatology, S.c. | Dermatology | 2130 W Sycamore St Ste 200, Kokomo, IN 46901 | 2016-06-29 |
| 1164860706 | Renee Michelle Brown | Registered Nurse | 2776 Amberwood Place, Kokomo, IN 46901 | 2013-06-05 |
| 1063642916 | Michelle K Rush | Speech-Language Pathologist | 2532 Lauren Ln, Kokomo, IN 46901 | 2009-07-24 |
| 1396957189 | Lifetime Dental Care of In, PC | Dentist | 927 S Washington St, Kokomo, IN 46901 | 2007-05-04 |
| 1245458355 | Wagoner Medical Center, LLC | Internal Medicine | 2016 W Sycamore, Kokomo, IN 46901 | 2007-04-23 |
| 1053442723 | Jesusa Salhieh | Contractor | Genesis Rehab Bloom, Kokomo, IN 46901 | 2007-03-07 |
| 1740382928 | Donald A Fantuzzo Dds PC | Dentist | 2196 W Sycamore St, Kokomo, IN 46901 | 2006-09-01 |
| Find all providers in zip 46901 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194924043 | Gregory Paul Hubbard | Optometrist | 1808 E Markland Ave, Kokomo, IN 46901-6234 | 2007-07-12 |
| 1619044757 | Helen Calvin | Optometrist | 511 W Lincoln Rd, Kokomo, IN 46902-3481 | 2006-11-30 |
| 1023031416 | Ossip Optometry, P.c | Optometrist | 1919 E Markland Ave, Kokomo, IN 46901-6237 | 2006-07-26 |
| 1306884200 | Robert E Lesko | Optometrist | 104 N Dixon Rd, Kokomo, IN 46901-4154 | 2006-06-03 |
| 1811957665 | Christopher A. James | Optometrist | 300 W Walnut St, Kokomo, IN 46901-4415 | 2006-03-24 |
| 1003875543 | Raymond A. Hopper | Optometrist | 1419 S Reed Rd, Kokomo, IN 46902-1927 | 2006-03-22 |
| 1073590048 | John E Fawcett | Optometrist | 3415 S Lafountain St, Suite N, Kokomo, IN 46902-3802 | 2005-12-29 |
| 1073599429 | R. Michael Fewell | Optometrist | 3421 S Lafountain St, Suite A, Kokomo, IN 46902-3801 | 2005-12-19 |
| 1467434753 | Eye Center Group LLC | Optometrist | 2302 S Dixon Rd, Ste.100, Kokomo, IN 46902-6424 | 2005-11-14 |
| 1912996091 | City Optical Co Inc | Optometrist | 1164 S 17th Street, Kokomo, IN 46902-1901 | 2005-10-20 |
| Find all providers in KOKOMO | ||||
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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.