DR. CHARLES MIKEL CRAIG (NPI# 1275848962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275848962 |
| Entity Type | Individual |
| Full Name | DR. CHARLES MIKEL CRAIG |
| Credential | O.D. |
| Practice Address |
220 N. Ironwood Dr. South Bend IN 46615 |
| Mailing Address |
Po Box 549 Wabash IN 46992-1613 |
| Practice Telephone | 5742893937 |
| Practice Fax Number | 5742807355 |
| Mailing Telephone | 2605699550 |
| Mailing Fax Number | 2605690760 |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2018-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18003759 | IN | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 5936 | OH | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201086990 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013421916 | Charles Patrick Craig | Chiropractor | 2477 Stickney Point Rd Ste 202a, Sarasota, FL 34231-6850 | 2017-11-30 |
| 1841664554 | Charles Patrick Craig | Physician Assistant | Route 15 2 Miles North of Allenwood, Allenwood, PA 17810 | 2015-11-18 |
| 1902847072 | Charles L Craig | Physician Assistant | 218 S Union St, Stafford, KS 67578-1428 | 2006-06-09 |
| 1508823485 | Charles C Craig | Orthopaedic Surgery | 800 Medical Drive, Suite 240, Newton, KS 67114-3765 | 2006-04-26 |
| 1316186455 | Charles Dewayne Craig Jr. | Case Manager/Care Coordinator | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2009-02-12 |
| Street Address |
220 N. IRONWOOD DR. |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954804 | Healthlinc, Inc. | Clinic/Center | 1002 S Esther St, South Bend, IN 46615 | 2015-06-12 |
| 1861897688 | Michelle Jean Streb | Registered Nurse | 1960 Northside Boulevard, South Bend, IN 46615 | 2014-10-23 |
| 1710219613 | Debra Vasquez | Occupational Therapy Assistant | 1950 Ridgedaleroad, South Bend, IN 46615 | 2010-02-03 |
| 1114259132 | Christopher Joseph Smith | Physical Therapist | 1005 Hickory Rd, South Bend, IN 46615 | 2010-02-01 |
| 1295064525 | Starlight Care Facilities, Inc | Skilled Nursing Facility | 915 So. 27th Street, South Bend, IN 46615 | 2009-12-16 |
| 1699002642 | Ann G Pryor | Contractor | 1516 E. Wayne St., South Bend, IN 46615 | 2009-11-12 |
| 1891917449 | Logan Community Resources, Inc. | Community/Behavioral Health | 2505 E. Jefferson Blvd, South Bend, IN 46615 | 2007-05-03 |
| 1487712683 | Julie Gaydos Plagens | Dentist | 604 South Eddy St, South Bend, IN 46615 | 2006-12-04 |
| 1629163084 | Edward F Klodzinski | Counselor | 3603 E. Jefferson Blvd., South Bend, IN 46615 | 2006-10-03 |
| 1255448452 | John D Bond Dds Inc | Dentist | 915 S Ironwood, South Bend, IN 46615 | 2006-08-24 |
| Find all providers in zip 46615 | ||||
| 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 |
|---|---|---|---|---|
| 1104312552 | Myeyedr Optometry of Indiana, LLC | Optometrist | 315 W Ireland Rd # 103, South Bend, IN 46614-3802 | 2018-07-09 |
| 1831649706 | Ossip Optometry, PC | Optometrist | 315 W Ireland Rd, Unit 103, South Bend, IN 46614-3802 | 2016-10-04 |
| 1902944325 | Family Eye Care of South Bend | Optometrist | 220 North Ironwood, South Bend, IN 46615-1623 | 2007-02-01 |
| 1700971686 | Professional Vision Inc | Optometrist | 4630 W Western Ave, South Bend, IN 46619-2304 | 2006-10-04 |
| 1972520906 | Ossip Optometry, P.c | Optometrist | 4121 S Michigan St, South Bend, IN 46614-2545 | 2006-07-16 |
| 1023069283 | Christopher J. Wolf, Od, Inc | Optometrist | 4123 S Michigan St, South Bend, IN 46614-2545 | 2006-05-13 |
| 1740241975 | Bob H Graf | Optometrist | 2004 Edison Rd Ste A, South Bend, IN 46617-1712 | 2006-03-29 |
| 1740258441 | Ronald Lee Snyder | Optometrist | 17615 State Rd 23, South Bend, IN 46635 | 2006-03-09 |
| 1306813464 | Lawrence A Shinneman | Optometrist | 4121 S. Michigan Street, South Bend, IN 46614-2545 | 2006-03-07 |
| 1316935208 | Michael John Rotheker | Optometrist | 17615 State Road 23, South Bend, IN 46635 | 2005-10-13 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46615 |
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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.