SOUTH GIBSON EYECARE ASSOCIATES, LLC (NPI# 1407123128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407123128 |
| Entity Type | Organization |
| Organization Name | SOUTH GIBSON EYECARE ASSOCIATES, LLC |
| Practice Address |
831 S 9th Ave Haubstadt IN 47639-8244 |
| Practice Telephone | 8126150277 |
| Mailing Telephone | 8126150277 |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2012-01-13 |
| Authorized Official Name | JEFFREY D IRVIN (OWNER) |
| Authorized Official Telephone | 8124017777 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | IN | Eye and Vision Services Providers |
| Street Address |
831 S 9TH AVE |
| City | HAUBSTADT |
| State | IN |
| Zip Code | 47639-8244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952516650 | Lori Ann Kramer | Speech-Language Pathologist | 780 West 1000 South, Haubstadt, IN 47639 | 2007-05-14 |
| 1760435358 | Tcs Inc | Pharmacist | 760 Highway 68 East, Haubstadt, IN 47639 | 2006-05-18 |
| 1952379307 | Physicians' Health Group, LLC | Family Medicine | 304 E. Highway 68, Haubstadt, IN 47639 | 2006-03-10 |
| 1679550081 | Richard L Gries | Family Medicine | 304 E Hwy 68, Haubstadt, IN 47639 | 2005-12-28 |
| 1306130109 | St. Mary's Physicians' Health Group, LLC | Family Medicine | 835 South 9th Ave, Haubstadt, IN 47639-0370 | 2011-06-09 |
| 1770866659 | Prorehab Inc | Durable Medical Equipment & Medical Supplies | 10294 S 150 E, Haubstadt, IN 47639-8017 | 2011-09-27 |
| 1649439506 | Transitional Services Sub, LLC | Intermediate Care Facility, Mentally Retarded | 317 N Main St, Haubstadt, IN 47639-8140 | 2008-06-05 |
| 1043269939 | Transitional Services, Inc | Intermediate Care Facility, Mentally Retarded | 317 N Main St, Haubstadt, IN 47639-8140 | 2006-05-08 |
| 1710308572 | Haubstadt Family Dentistry LLC | Dentist | 306 E State Route 68, Haubstadt, IN 47639-8200 | 2013-12-20 |
| 1619925864 | Morris R. Bitzer | Dentist | 301 E Plum St, Haubstadt, IN 47639-8208 | 2006-05-04 |
| Find all providers in zip 47639 | ||||
| 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 |
|---|---|---|---|---|
| 1467066811 | Greenwood Vision Care LLC | Optometrist | 622 N Madison Ave Ste 9, Greenwood, IN 46142-4052 | 2020-09-03 |
| 1992319719 | Kaitlyn Renae Gibson | Optometrist | 13115 Wicker Ave Ste E, Cedar Lake, IN 46303-7400 | 2020-08-31 |
| 1194333260 | Kelly Ann Foster Lindgren | Optometrist | 1298 Us 31 N, Greenwood, IN 46142-4501 | 2020-07-15 |
| 1437774486 | Meret Thomas-huebner | Optometrist | 1160 W Michigan St Unit 100, Indianapolis, IN 46202-5209 | 2020-06-15 |
| 1164046967 | Dr Bennett LLC | Optometrist | 1850 E Dupont Rd, Fort Wayne, IN 46825-1581 | 2020-06-08 |
| 1316567134 | Phillip G Koultourides, O.d. P.C. | Optometrist | 210 Indianapolis Blvd, Suite B, Schererville, IN 46375 | 2020-04-22 |
| 1568091551 | Nitya Murthy | Optometrist | 3985 W 106th St Ste 120, Carmel, IN 46032-7779 | 2020-04-02 |
| 1801422381 | National Vision Inc | Optometrist | 14002 Hoard Dr Ste 1100, Noblesville, IN 46060-5661 | 2020-03-17 |
| 1417597402 | Duneland Family Eyecare LLC | Optometrist | 101 Beverly Dr Ste B, Chesterton, IN 46304-3471 | 2020-01-08 |
| 1689213365 | National Vision Inc | Optometrist | 2410 Laporte Ave Ste 130, Valparaiso, IN 46383-6969 | 2019-12-30 |
| Find all providers with the same taxonomy | ||||
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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.