EYECARE INDIANA II, PC (NPI# 1679824593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679824593 |
| Entity Type | Organization |
| Organization Name | EYECARE INDIANA II, PC |
| Other Organization Name | C&B OPTICAL ONE |
| Practice Address |
3701 S Main St Elkhart IN 46517-3106 |
| Mailing Address |
4121 S Michigan St South Bend IN 46614-2545 |
| Practice Telephone | 5748758511 |
| Practice Fax Number | 5748758763 |
| Mailing Telephone | 5742919200 |
| Mailing Fax Number | 5742994423 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-11-16 |
| Authorized Official Name | TERRI PESCHKE (COO) |
| 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 |
|---|---|---|---|---|
| 1497006316 | Eyecare Indiana II, PC | Optometrist | 1601 E 80th Ave, Merrillville, IN 46410-5737 | 2012-10-02 |
| 1861743783 | Eyecare Indiana II, PC | Optometrist | 3540 Calumet Ave, Valparaiso, IN 46383-2246 | 2012-10-02 |
| 1770834699 | Eyecare Indiana II, PC | Optometrist | 14 Professional Ct, Lafayette, IN 47905-5152 | 2012-10-02 |
| 1760733687 | Eyecare Indiana II, PC | Optometrist | 4121 S Michigan St, South Bend, IN 46614-2545 | 2012-10-02 |
| 1588915409 | Eyecare Indiana II, PC | Optometrist | 3701 Franklin St, Michigan City, IN 46360-7310 | 2012-10-02 |
| 1235480153 | Eyecare Indiana II, PC | Optometrist | 5327 Grape Rd, Mishawaka, IN 46545-1344 | 2012-10-02 |
| 1689925505 | Eyecare Indiana II, PC | Optometrist | 1919 E Markland Ave, Kokomo, IN 46901-6237 | 2012-10-02 |
| 1306197223 | Eyecare Indiana II, PC | Optometrist | 12479 State Road 23, Suite E, Granger, IN 46530-8040 | 2012-10-02 |
| Street Address |
3701 S MAIN ST |
| City | ELKHART |
| State | IN |
| Zip Code | 46517-3106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154817583 | Myeyedr Optometry of Indiana, LLC | Optometrist | 3701 S Main St, Elkhart, IN 46517-3106 | 2018-07-09 |
| 1841501194 | Yair Shlomo Elias | Optometrist | 3701 S Main St, Elkhart, IN 46517-3106 | 2010-07-01 |
| 1720306061 | Scott Raymond Keiser | Dentist | 3701 S Main St, Suite A150, Elkhart, IN 46517-3106 | 2010-05-11 |
| 1578749628 | Megan Erin Lehman | Optometrist | 3701 S Main St, Elkhart, IN 46517-3106 | 2008-01-18 |
| 1942306311 | John Douglas Coalter | Optometrist | 3701 S Main St, Elkhart, IN 46517-3106 | 2006-09-15 |
| 1720001100 | Ossip Optometry, P.c | Optometrist | 3701 S Main St, Elkhart, IN 46517-3106 | 2006-07-26 |
| 1841211844 | Jan Michael Boehringer | Optometrist | 3701 S Main St, Elkhart, IN 46517-3106 | 2006-07-22 |
| 1235168535 | Cheryl Diane Loman | Optometrist | 3701 S Main St, Elkhart, IN 46517-3106 | 2006-07-01 |
| 1164472734 | Jennifer Houseknecht | Optometrist | 3701 S Main St, Elkhart, IN 46517-3106 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457743585 | Raymond Kraucunas | Pharmacist | 102 E Hively Ave., Elkhart, IN 46517 | 2015-02-26 |
| 1972834828 | Tyler Thomas Hawkins | Physical Therapy Assistant | 3965 Doral Ln., Elkhart, IN 46517 | 2010-01-15 |
| 1407008394 | Emily Anne Stults | Nurse Practitioner | 505 South Third St, Ste 160, Elkhart, IN 46517 | 2008-10-22 |
| 1902922453 | Assisted Living Concepts Inc | Assisted Living Facility | 27833 County Road 24, Elkhart, IN 46517 | 2007-03-22 |
| 1023145984 | Family Nursing Services, Inc. | Home Health | 58025 Cr 9, Elkhart, IN 46517 | 2007-02-27 |
| 1639178650 | Bethany L. Mcdaniel-vanderzwaag | Family Medicine | 3421 S Main St, Elkhart, IN 46517 | 2005-07-20 |
| 1770586737 | Timothy Alan Quist | Podiatrist | 24021 Us 33 East, Elkhart, IN 46517 | 2005-05-24 |
| 1649516469 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2600 Morehouse Ave, Elkhart, IN 46517 | 2012-12-26 |
| 1538340716 | Timothy A Quist Dpm, PC | Podiatrist | 24021 Us 33 East, Elkhart, IN 46517 | 2007-11-16 |
| 1598889776 | Family Nursing Services, Inc. | Home Health | 58025 Cr 9, Elkhart, IN 46517 | 2007-03-16 |
| Find all providers in zip 46517 | ||||
| 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 |
|---|---|---|---|---|
| 1922591957 | Matthew Ryan Austin | Optometrist | 4542 Elkhart Rd Ste 100, Elkhart, IN 46517-3572 | 2018-06-13 |
| 1285151985 | Eyecare Express | Optometrist | 205 County Road 6 E Ste P, Elkhart, IN 46514-5583 | 2017-08-24 |
| 1821338229 | Vision Source of Liberal Inc | Optometrist | 621 E Stevens St, Elkhart, KS 67950-7709 | 2013-02-21 |
| 1598021727 | Eyecare Indiana Ll, PC | Optometrist | 3701 S. Main Street, Elkhart, IN 46517-3106 | 2012-04-02 |
| 1619194933 | Richard Erdmann | Optometrist | 1751 E. Bristol St., Elkhart, IN 46514 | 2007-04-19 |
| 1750421624 | Susan Westfall Erdmann | Optometrist | 1751 E Bristol St, Elkhart, IN 46514-3968 | 2007-02-08 |
| 1922107465 | James L Myers II O.d. P.C. | Optometrist | 1789 E Bristol St, Suite C, Elkhart, IN 46514-6607 | 2006-09-21 |
| 1710997044 | Indiana Vision Clinic, Inc | Optometrist | 2730a Cassopolis St, Elkhart, IN 46514-5102 | 2006-08-09 |
| 1326064981 | Michael B Gural | Optometrist | 2224 Cassopolis St, Elkhart, IN 49516-5133 | 2006-07-15 |
| 1811950009 | Lakeshore Eyecare, Inc. | Optometrist | 830 Parkway Ave Ste E, Elkhart, IN 46516-9343 | 2006-04-09 |
| Find all providers in ELKHART | ||||
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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.