DR. CHRISTINA MARIE MUMMERT (NPI# 1821086380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821086380 |
| Entity Type | Individual |
| Full Name | DR. CHRISTINA MARIE MUMMERT |
| Credential | O.D. |
| Practice Address |
14413 Illinois Rd Suite C Fort Wayne IN 46814-9714 |
| Practice Telephone | 2606160184 |
| Practice Fax Number | 8552719517 |
| Mailing Telephone | 2606160184 |
| Mailing Fax Number | 8552719517 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2011-11-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 4901004071 | MI | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 18003334A | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE | 410029181 | 01 |
| Street Address |
14413 ILLINOIS RD SUITE C |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46814-9714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811280076 | Envision Eye Care LLC | Optometrist | 14413 Illinois Rd, Ste. C, Fort Wayne, IN 46814-9714 | 2011-05-20 |
| 1659427102 | Susan Marie Goode | Optometrist | 14413 Illinois Rd, Ste. C, Fort Wayne, IN 46814-9714 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295256907 | Kimberly Ann Bailey | Social Worker | 5310 Merchandise Dr., Fort Wayne, IN 46814 | 2017-07-03 |
| 1821229998 | Back In Action Chiropractic | Chiropractor | 10443 Llinois Road, Fort Wayne, IN 46814 | 2009-08-06 |
| 1376789420 | Richard Frederick Fox | Radiology | 6226 Devils Hollow Rd., Fort Wayne, IN 46814 | 2008-12-19 |
| 1225287998 | George W. Bowers | Urology | 12002 Haddington Court, Fort Wayne, IN 46814 | 2008-09-17 |
| 1588831986 | Xue Zhang | Family Medicine | 10515 Illimois Rd, Fort Wayne, IN 46814 | 2008-05-14 |
| 1245449172 | Charles S Lindzy | Anesthesiology | 14104 Peddlers Ford, Fort Wayne, IN 46814 | 2007-05-21 |
| 1043338999 | Aboite Township Fire Dept In | Ambulance | 11321 Aboite Center Rd, Fort Wayne, IN 46814 | 2007-03-27 |
| 1588748206 | Lisa Renee Vachon | Chiropractor | 971 Chestnut Hills Pkwy, Ft Wayne, IN 46814 | 2006-10-25 |
| 1962586685 | Daniel Vern Velliquette | Chiropractor | 971 Chestnut Hills Parkway, Fort Wayne, IN 46814 | 2006-10-25 |
| 1336255801 | Erica L Walworth | Marriage & Family Therapist | 412 S Scott Rd, Fort Wayne, IN 46814 | 2006-08-21 |
| Find all providers in zip 46814 | ||||
| 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 |
|---|---|---|---|---|
| 1164046967 | Dr Bennett LLC | Optometrist | 1850 E Dupont Rd, Fort Wayne, IN 46825-1581 | 2020-06-08 |
| 1043737737 | Eyecare Express | Optometrist | 4826 Illinois Rd, Fort Wayne, IN 46804-1166 | 2017-08-24 |
| 1760906135 | Brittany Hoolsema | Optometrist | 2121 Lake Ave # 112b, Fort Wayne, IN 46805-5100 | 2017-07-27 |
| 1801326533 | Kimberly M Kindt | Optometrist | 9426 Lima Rd Ste C, Fort Wayne, IN 46818 | 2017-06-15 |
| 1083003008 | Midwest Eye Consultants, P.C. | Optometrist | 1601 E Paulding Rd, Fort Wayne, IN 46816-1204 | 2015-01-14 |
| 1437494143 | Fort Wayne Vision Associates Ltd | Optometrist | 515 E Coliseum Blvd, Fort Wayne, IN 46805-1215 | 2012-12-06 |
| 1033453220 | Daniel & Max | Optometrist | 409 E Coliseum Blvd, Fort Wayne, IN 46805-1004 | 2012-11-12 |
| 1205114006 | Ryan Feichtner | Optometrist | 700 E Coliseum Blvd, Fort Wayne, IN 46805-1220 | 2011-07-27 |
| 1760786503 | C J Pataluch Od PC | Optometrist | 5659 Coventry Ln, Fort Wayne, IN 46804-7145 | 2011-01-10 |
| 1841436532 | James H Pennington Od | Optometrist | 6421 Georgetown North Blvd, Fort Wayne, IN 46815-7007 | 2008-12-30 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46814 |
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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.