DR. MATTHEW S WILL (NPI# 1710982475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710982475 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW S WILL |
| Credential | O.D. |
| Practice Address |
781 E North Street Kendallville IN 46755-1225 |
| Practice Telephone | 2603473458 |
| Practice Fax Number | 2603474425 |
| Mailing Telephone | 2603473458 |
| Mailing Fax Number | 2603474425 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2016-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18003274A | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100355140A | 05 | |
| IN | 200488400A | 05 | |
| IN | MEDICARE PTAN | 967880 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083835730 | Matthew Will | Obstetrics & Gynecology | 12188a North Meridian, Suite 250, Carmel, IN 46032 | 2007-05-01 |
| 1508366659 | Matthew Will | Physical Therapist | 101 Old York Rd Ste 204, Jenkintown, PA 19046-3911 | 2018-02-15 |
| Street Address |
781 E NORTH STREET |
| City | KENDALLVILLE |
| State | IN |
| Zip Code | 46755-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003811860 | Robert Alan Roush | Optometrist | 781 E North Street, Kendallville, IN 46755-1225 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700292422 | Dawn Levin | Physical Therapist | 1292 Drake Rd, Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1679989495 | Elaine Patterson | Physical Therapist | 1292 Drake Rd., Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1841606563 | Justin Todd Chaple | Physical Therapist | 1292 Drake Road, Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1073802997 | Bryan William Smith | Counselor | 1930 Dowling St., Kendallville, IN 46755 | 2011-03-31 |
| 1417101247 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 124 E North St, Kendallville, IN 46755 | 2008-11-06 |
| 1770778367 | Assisted Living Concepts Inc | Assisted Living Facility | 2870 South Lima Road, Kendalville, IN 46755 | 2007-09-07 |
| 1629143805 | Kendallville Chiropractic Center Inc | Chiropractor | 1229 N Lima Rd, Kendallville, IN 46755 | 2006-11-22 |
| 1841307139 | Theodore L Deal Jr. | Dentist | 225 Fairview Blvd, Kendallville, IN 46755 | 2006-08-24 |
| 1467469858 | David Lee Holliday | Chiropractor | 930 West North St., Kendallville, IN 46755 | 2006-08-01 |
| 1699708370 | Vincent J Coda | Podiatrist | 410 E Mitchell St, Kendallville, IN 46755 | 2006-07-08 |
| Find all providers in zip 46755 | ||||
| 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 |
|---|---|---|---|---|
| 1336451640 | Elizabeth Jane Roush | Optometrist | 781 E North St, Kendallville, IN 46755-1225 | 2010-07-02 |
| 1790842557 | Rx Optical Laboratories, Inc. | Optometrist | 208 W North St, Kendallville, IN 46755-1134 | 2007-01-02 |
| 1003811860 | Robert Alan Roush | Optometrist | 781 E North Street, Kendallville, IN 46755-1225 | 2005-06-17 |
| 1720392020 | Craig Michael Lichlyter | Optometrist | 781 E North St, Kendallville, IN 46755-1225 | 2010-07-29 |
| 1902916075 | Stephen Spindler White | Optometrist | 2501 E North St, Kendallville, IN 46755-3231 | 2006-08-30 |
| 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 | KENDALLVILLE |
| Zip Code | 46755 |
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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.