SOUTH BEND OPTOMETRICS, LLC (NPI# 1629360151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629360151 |
| Entity Type | Organization |
| Organization Name | SOUTH BEND OPTOMETRICS, LLC |
| Practice Address |
2933 Caroline St South Bend IN 46614-1545 |
| Practice Telephone | 5743862738 |
| Mailing Telephone | 5743862738 |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |
| Authorized Official Name | DR. YAIR S ELIAS (OPTOMETRIST) |
| Authorized Official Telephone | 5743862738 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
18003629A | IN | Eye and Vision Services Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SOUTH BEND OPTOMETRICS, LLC | 2933 Caroline Street, South Bend, IN 46614 |
| Street Address |
2933 CAROLINE ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46614-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574013 | Hellen Gathesha | Nurse Practitioner | 2123 W Irvington Dr, South Bend, IN 46614 | 2020-06-30 |
| 1033759394 | Diane Galvas | Pharmacist | 1217 E. Ireland Rd., South Bend, IN 46614 | 2020-01-14 |
| 1730668690 | Julenne Henriquez-gil | Physical Therapist | 202 W Ireland Rd Ste 101a, South Bend, IN 46614 | 2018-08-11 |
| 1467747014 | Deidre A Coffey | Nurse Practitioner | 1025 Widener Ln, South Bend, IN 46614 | 2011-06-12 |
| 1588727655 | Wal-mart Stores East, Lp | Technician/Technologist | 700 W. Ireland Rd., South Bend, IN 46614 | 2006-12-19 |
| 1437262847 | Lori F Risser | Dentist | 734 E Ireland Rd, South Bend, IN 46614 | 2006-08-17 |
| 1912388018 | Laura Ellen Albright | Family Medicine | 2102 E Inwood Rd, South Bend, IN 46614 | 2015-06-15 |
| 1245626225 | Kathleen Kelley | Dermatology | 1815 E Ireland Rd, South Bend, IN 46614 | 2015-04-07 |
| 1073869806 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1950 Ridgedale Rd, South Bend, IN 46614 | 2012-07-30 |
| 1326300666 | Kristine Marie Jones | Optometrist | 700 W Ireland Rd, South Bend, IN 46614 | 2012-06-12 |
| Find all providers in zip 46614 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144462235 | Eye Associates Group, LLC | Optometrist | 6208 Constitution Dr Ste B, Fort Wayne, IN 46804-1585 | 2009-04-03 |
| 1649324831 | Eye Associates Group, LLC | Optometrist | 315 Huggins Dr, Hartford City, IN 47348-8999 | 2007-01-23 |
| 1538216171 | Low Vision Services, P.C. | Optometrist | 200 W 103rd St Ste 2030, Indianapolis, IN 46290-1092 | 2007-01-05 |
| 1831275882 | Clovernook Center for The Blind and Visually Impaired | Optometrist | 368 Bielby Rd., Suite #120, Lawrenceburg, IN 47025-1199 | 2006-10-31 |
| 1376545442 | Kirk A Hearne | Optometrist | 29 E Poplar St, North Vernon, IN 47265-1519 | 2005-06-02 |
| 1629070925 | Debra L Mcconnaha | Optometrist | 1634 W Smith Valley Rd, Ste A, Greenwood, IN 46142-1550 | 2005-06-01 |
| City | SOUTH BEND |
| Zip Code | 46614 |
Please comment or provide details below to improve the information on SOUTH BEND OPTOMETRICS, LLC.
| 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.