EYECARE INDIANA LL, PC (NPI# 1386910511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386910511 |
| Entity Type | Organization |
| Organization Name | EYECARE INDIANA LL, PC |
| Other Organization Name | C&B OPTICAL ONE |
| Practice Address |
12479 State Road 23 Suite E Granger IN 46530-8040 |
| Mailing Address |
4121 S. Michigan Street South Bend IN 46614-2545 |
| Practice Telephone | 5742773077 |
| Practice Fax Number | 5742773288 |
| 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 |
| 1083970214 | Eyecare Indiana Ll, PC | Optometrist | 1919 E. Markland Ave, Kokomo, IN 46901-6237 | 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 |
| Street Address |
12479 STATE ROAD 23 SUITE E |
| City | GRANGER |
| State | IN |
| Zip Code | 46530-8040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124162607 | Karen Ann Pugh | Optometrist | 12479 State Road 23, Ste E, Granger, IN 46530-8040 | 2007-02-16 |
| 1306197223 | Eyecare Indiana II, PC | Optometrist | 12479 State Road 23, Suite E, Granger, IN 46530-8040 | 2012-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610783 | Michiana Weight Loss and Wellness Clinic LLC | Internal Medicine | 14304 Sr 23, Granger, IN 46530 | 2020-05-14 |
| 1609427921 | Stephen J Armet | Physical Therapist | 16733 Saratoga Ct, Granger, IN 46530 | 2019-09-27 |
| 1881177756 | Memorial Hospital of South Bend | General Acute Care Hospital | 3220 Beacon Parkway, Granger, IN 46530 | 2018-09-07 |
| 1922483635 | Kiley Ramer | Behavioral Analyst | 6910 N Main St Bldg 13c51, Granger, IN 46530 | 2015-07-23 |
| 1326439415 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 625 E University Dr., Granger, IN 46530 | 2015-02-10 |
| 1811302094 | Costco Wholesale Corporation | Pharmacy | 625 E. University Drive, Granger, IN 46530 | 2014-06-25 |
| 1255773255 | Tracy Joyce Abel | Behavioral Analyst | 12042 Covered Wagon Court, Granger, IN 46530 | 2013-07-19 |
| 1225376304 | George Youssef | Internal Medicine | 5610 Town Center Drive #14, Granger, IN 46530 | 2013-01-23 |
| 1033489596 | Rene Raul Arce Guarnaluse | Homeopath | Emilio Bayarri 50, Puzol, VALENCIA 46530 | 2011-12-30 |
| 1568747368 | Ranya Bouzou-kadi | Pharmacist | 13060 Adams, Granger, IN 46530 | 2011-10-13 |
| Find all providers in zip 46530 | ||||
| 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 |
|---|---|---|---|---|
| 1053698068 | Julie Batuk Ramolia | Optometrist | 115 E University Dr, Granger, IN 46530-4474 | 2011-11-05 |
| 1821234097 | Longenecker | Optometrist | 215 E University Dr, Suite 150, Granger, IN 46530-4000 | 2008-12-18 |
| 1366586505 | Wade Eye Associates, Inc. | Optometrist | 50600 Woodbury Way, Granger, IN 46530-6902 | 2007-02-19 |
| 1124162607 | Karen Ann Pugh | Optometrist | 12479 State Road 23, Ste E, Granger, IN 46530-8040 | 2007-02-16 |
| 1285788745 | Geoffrey Allen Heddle | Optometrist | 215 E University Dr Ste 150, Granger, IN 46530-4026 | 2007-01-22 |
| 1225120603 | Marc E Parker | Optometrist | 51663 Stoneham Way, Granger, IN 46530-8495 | 2006-09-29 |
| 1336146497 | Tara Lynn Svatos | Optometrist | 13197 State Road 23, Granger, IN 46530 | 2005-07-05 |
| 1043827660 | Hedgeye Optometrist PC | Optometrist | 215 E University Dr Ste 150, Granger, IN 46530-4026 | 2020-09-28 |
| 1548746449 | Patrick William Graves | Optometrist | 215 E University Dr Ste 150, Granger, IN 46530-4026 | 2018-07-13 |
| 1124478581 | Michael Dewit | Optometrist | 13197 State Road 23, Granger, IN 46530 | 2016-06-16 |
| Find all providers in GRANGER | ||||
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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.