NBHT INDIANA LLC (NPI# 1699250548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699250548 |
| Entity Type | Organization |
| Organization Name | NBHT INDIANA LLC |
| Other Organization Name | VISION BOUTIQUE ST JOHN |
| Practice Address |
8319 Wicker Ave Saint John IN 46373-8879 |
| Mailing Address |
3171 Peschel Ct Dyer IN 46311-1232 |
| Practice Telephone | 2192281776 |
| Practice Fax Number | 2195580672 |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | NEIL ALAN BOLDUS (MANAGING MEMBER) |
| Authorized Official Telephone | 2247300650 |
| Authorized Official Credential | OD |
| 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 |
|---|---|
| Vision Boutique St John | Doing Business As Name - Organization |
| Street Address |
8319 WICKER AVE |
| City | SAINT JOHN |
| State | IN |
| Zip Code | 46373-8879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023641123 | Lisa A Arteaga | Occupational Therapy Assistant | 10700 Park Place of St John, St John, IN 46373 | 2020-02-17 |
| 1306493507 | Athletico Ltd | Physical Therapist | 10081 Wicker Ave #4, Saint John, IN 46373 | 2019-08-22 |
| 1083014971 | Courtney Olavarria | Registered Nurse | 8915 West 93rd Avenue, Clark Middle School, Saint John, IN 46373 | 2014-08-27 |
| 1316368111 | Tracy Lynn Wargo | Registered Nurse | 8801 Wicker Ave., Kolling Elementary, St. John, IN 46373 | 2013-12-20 |
| 1245587989 | Joshua Dejong | Physical Therapist | 10200 Wicker Ave Ste 1, Saint John, IN 46373 | 2012-08-13 |
| 1053406629 | Corlin Alden Stein | Chiropractor | 9161 Wicker Avenue (us 41), St. John, IN 46373 | 2006-10-03 |
| 1235190216 | Tarak R Chokshi | Internal Medicine | 10200 Wicker Avenue, St John, IN 46373 | 2006-03-30 |
| 1154397057 | Norbert A Matulis | Dentist | 9207 Wicker Avenue, St John, IN 46373 | 2006-02-28 |
| 1568462729 | Keith R. Pitchford | Orthopaedic Surgery | 9615 Keilman Street, Saint John, IN 46373 | 2005-07-28 |
| 1528483021 | Creating Smiles PC | Dentist | 8217 Wicker Ave, St John, IN 46373 | 2014-02-20 |
| Find all providers in zip 46373 | ||||
| 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 |
|---|---|---|---|---|
| 1699107664 | Focus Optometry | Optometrist | 8025 Wicker Ave Ste H, Saint John, IN 46373-8793 | 2013-08-01 |
| 1124147947 | Metropolitan Eyecare Center of St. John | Optometrist | 9488 Wicker Ave # A, Saint John, IN 46373-9400 | 2007-03-29 |
| 1154489177 | Valerie Renee Anderson | Optometrist | 9270 Wicker Ave, Suite A, Saint John, IN 46373-8508 | 2006-12-04 |
| 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 | ||||
| City | SAINT JOHN |
| Zip Code | 46373 |
Please comment or provide details below to improve the information on NBHT INDIANA 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.