DRS. ROUSH & WILL OPTOMETRISTS INC (NPI# 1780957589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780957589 |
| Entity Type | Organization |
| Organization Name | DRS. ROUSH & WILL OPTOMETRISTS INC |
| Practice Address |
809 Lincolnway South Ligonier IN 46767-1700 |
| Mailing Address |
117 W Rush St Kendallville IN 46755-1739 |
| Practice Telephone | 2608943909 |
| Practice Fax Number | 2608943904 |
| Mailing Telephone | 2603473458 |
| Mailing Fax Number | 2603474425 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-13 |
| Authorized Official Name | DR. ROBERT ALAN ROUSH (PRESIDENT) |
| Authorized Official Telephone | 2603473611 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 56000032A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100355140B | 05 | |
| IN | 100355140C | 05 | |
| IN | 100355140A | 05 | |
| IN | MEDICARE PTAN | 967880 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730451279 | Drs. Roush & Will Optometrists Inc | Eyewear Supplier (Equipment, not the service) | 815 Trail Ridge Rd, Albion, IN 46701-1534 | 2012-01-30 |
| 1578613295 | Drs. Roush & Will Optometrists Inc | Eyewear Supplier (Equipment, not the service) | 781 E. North St, Kendallville, IN 46755-1225 | 2007-01-12 |
| Street Address |
809 LINCOLNWAY SOUTH |
| City | LIGONIER |
| State | IN |
| Zip Code | 46767-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275845422 | David M Griffith | Dentist | 907 Lincolnway South, Ligonier, IN 46767 | 2010-07-04 |
| 1629270343 | Michiana Physical Medicine | Specialist | 254 W Us 6, Ligonier, IN 46767 | 2007-06-04 |
| 1477683415 | Jolene Durham | Specialist | 254 West Us 6, Ligonier, IN 46767 | 2007-03-07 |
| 1427121573 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 200 Kingston Cir, Ligonier, IN 46767 | 2006-11-16 |
| 1770864530 | Stephanie Anne Rojas | Occupational Therapist | 609 Seville Ct, Ligonier, IN 46767-1283 | 2011-09-07 |
| 1477167195 | Stephanie Rojas LLC | Occupational Therapist | 609 Seville Ct, Ligonier, IN 46767-1283 | 2020-09-01 |
| 1730425984 | David M Griffith Dental | Dentist | 907 Lincolnway S, Ligonier, IN 46767-1707 | 2012-12-17 |
| 1831292531 | Hook Superx LLC | Pharmacy | 101 West Us Hwy 6, Ligonier, IN 46767-1707 | 2006-09-07 |
| 1114035557 | Nancy Young Cornett | Social Worker | 1150 Lincolnway S, Ligonier, IN 46767-1735 | 2006-08-27 |
| 1083687388 | Alison P Mathew | Internal Medicine | 1150 1/2 Lincolnway S, Ligonier, IN 46767-1735 | 2006-02-08 |
| Find all providers in zip 46767 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730737610 | Net-works Solutions, LLC | Eyewear Supplier (Equipment, not the service) | 7114 Munsee Ln, Indianapolis, IN 46260-4069 | 2019-09-03 |
| 1801443742 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 49 W Maryland St Ste 179, Indianapolis, IN 46204-3543 | 2019-08-26 |
| 1609339910 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1201 Cross Pointe Place, Evansville, IN 47715 | 2019-04-12 |
| 1760993810 | Longe Enterprises Corp | Eyewear Supplier (Equipment, not the service) | 5711 Ymca Park Dr East, Fort Wayne, IN 46835 | 2017-10-17 |
| 1023532199 | Dr Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 5720 Grape Rd., Mishawaka, IN 46545-1245 | 2017-08-01 |
| 1467976472 | Grifflands Optical | Eyewear Supplier (Equipment, not the service) | 1951 West Glen Park Ave, Griffith, IN 46319 | 2017-08-01 |
| 1992233738 | Dr Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 2894 E 3rd St Ste 155, Bloomington, IN 47401-5423 | 2017-05-24 |
| 1710338231 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 4440 S Us Highway 41, Ste. 102, Terre Haute, IN 47802-4409 | 2016-06-27 |
| 1407216492 | Dr Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 2141 Sagamore Pkwy South, Lafayette, IN 47905-5109 | 2016-03-03 |
| 1588038335 | Ditto Technologies, Inc | Eyewear Supplier (Equipment, not the service) | 420 Nw 5th St Ste 2b, Evansville, IN 47708-1333 | 2015-11-17 |
| 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.