NORTHWEST INDIANA EYE & LASER CENTER PC (NPI# 1336212117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336212117 |
| Entity Type | Organization |
| Organization Name | NORTHWEST INDIANA EYE & LASER CENTER PC |
| Practice Address |
502 Marquette St Valparaiso IN 46383-2509 |
| Practice Telephone | 2194648223 |
| Practice Fax Number | 2195312356 |
| Mailing Telephone | 2194648223 |
| Mailing Fax Number | 2195312356 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-05-21 |
| Authorized Official Name | SCOTT A BUCK (PRESIDENT) |
| Authorized Official Telephone | 2194648223 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200343240A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225369572 | Northwest Indiana Eye & Laser Center PC | Optometrist | 1001 S Edgewood Dr, Suite 5, Knox, IN 46534-8269 | 2010-01-27 |
| Street Address |
502 MARQUETTE ST |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515938 | Richard Scott Carlson | Optometrist | 502 Marquette St, Valparaiso, IN 46383-2509 | 2005-08-11 |
| 1134235849 | Stephen R Buck | Optometrist | 502 Marquette St, Valparaiso, IN 46383-2509 | 2006-08-23 |
| 1366558090 | James S Carmichael | Optometrist | 502 Marquette St, Valparaiso, IN 46383-2509 | 2006-08-23 |
| 1801856943 | Scott A Buck | Ophthalmology | 502 Marquette St, Valparaiso, IN 46383 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| 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 |
|---|---|---|---|---|
| 1689213365 | National Vision Inc | Optometrist | 2410 Laporte Ave Ste 130, Valparaiso, IN 46383-6969 | 2019-12-30 |
| 1669931846 | Myeyedr Optometry of Indiana, LLC | Optometrist | 2106 Calumet Ave, Valparaiso, IN 46383-2708 | 2019-03-18 |
| 1427314657 | Eyecare Indiana Ll, PC | Optometrist | 3540 N. Calumet Ave, Valparaiso, IN 46383-2246 | 2012-04-02 |
| 1720126048 | Robert Andrew Riggle | Optometrist | 2106 N Calumet Ave, Valparaiso, IN 46838 | 2007-02-01 |
| 1346334422 | Annette Brabham | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580 | 2006-10-03 |
| 1598788978 | Ossip Optometry, P.c | Optometrist | 3540 Calumet Ave, Valparaiso, IN 46383-2246 | 2006-07-26 |
| 1336115237 | Northwest Indiana Eye Associates, PC | Optometrist | 2101 Burlington Beach Rd, Valparaiso, IN 46383-1665 | 2006-02-28 |
| 1154398097 | Nikole T Schilling | Optometrist | 2101 Burlington Beach Rd., Valparaiso, IN 46383-0000 | 2006-02-28 |
| 1518931310 | Stanley Neil Blackman | Optometrist | 2009 Roosevelt Rd, Suite D, Valparaiso, IN 46383-3765 | 2006-02-16 |
| 1073515938 | Richard Scott Carlson | Optometrist | 502 Marquette St, Valparaiso, IN 46383-2509 | 2005-08-11 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
Please comment or provide details below to improve the information on NORTHWEST INDIANA EYE & LASER CENTER PC.
| 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.