DR. KIM P CORY (NPI# 1164498945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164498945 |
| Entity Type | Individual |
| Full Name | DR. KIM P CORY |
| Credential | OD |
| 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 | 2006-02-23 |
| Last Update Date | 2008-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18001658A | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100207890 | 05 |
| Street Address |
6509 CENTRAL AVE |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033379987 | Cory Eyecare Ptr | Eyewear Supplier (Equipment, not the service) | 6509 Central Ave, Portage, IN 46368-3101 | 2008-06-13 |
| 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 | 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 |
|---|---|---|---|---|
| 1669711438 | Portage Family Vision Care, PC | Optometrist | 6483 S Westnedge Ave, Portage, MI 49002-3542 | 2013-02-13 |
| 1679873343 | Portage Family Vision Care, PC | Optometrist | 6483 S. Westnedge Ave., Portage, MI 49002-3542 | 2010-10-28 |
| 1841477783 | Brian Lee Weller | Optometrist | 6650 S Westnedge Ave Ste 232, Portage, MI 49024-3503 | 2008-01-22 |
| 1720128895 | Aaron John Whitsett | Optometrist | 6410 S Westnedge, Portage, MI 49002 | 2007-02-07 |
| 1841353943 | Laura H Mitchell | Optometrist | 6650 S Westnedge Ave, Ste 232 Crossroads Mall, Portage, MI 49024-3597 | 2006-12-19 |
| 1770647505 | Matthew A Parker | Optometrist | 6780 S Westnedge Ave, Portage, MI 49024-3589 | 2006-12-19 |
| 1073681797 | David P Williams | Optometrist | 410 E Centre Ave, Portage, MI 49002-5541 | 2006-12-01 |
| 1831263995 | Drs Elliott & Webb, S.c. | Optometrist | 304 W Cook St, Portage, WI 53901-2108 | 2006-11-20 |
| 1245318179 | William Scott Goldthorpe | Optometrist | 130 Henry Dr, Portage, WI 53901-1105 | 2006-11-01 |
| 1457444093 | Lance Olson | Optometrist | 6097 Us Highway 6, Portage, IN 46368-5215 | 2006-10-02 |
| 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.