OSSIP OPTOMETRY, P.C (NPI# 1972520906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972520906 |
| Entity Type | Organization |
| Organization Name | OSSIP OPTOMETRY, P.C |
| Other Organization Name | C&B OPTICAL ONE |
| Practice Address |
4121 S Michigan St South Bend IN 46614-2545 |
| Mailing Address |
9795 Crosspoint Blvd Ste 100 Indianapolis IN 46256-3354 |
| Practice Telephone | 5742919200 |
| Practice Fax Number | 5742994423 |
| Mailing Telephone | 3172546480 |
| Mailing Fax Number | 3172598609 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2015-10-13 |
| Authorized Official Name | DR. GREGG L OSSIP (OWNER) |
| Authorized Official Telephone | 3172546480 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18003467 | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201052070 | 05 |
| Other Name | Type Code |
|---|---|
| C&B Optical One | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598788978 | Ossip Optometry, P.c | Optometrist | 3540 Calumet Ave, Valparaiso, IN 46383-2246 | 2006-07-26 |
| 1073536454 | Ossip Optometry, P.c | Optometrist | 3701 Franklin St, Michigan City, IN 46360-7310 | 2006-07-26 |
| 1306869797 | Ossip Optometry, P.c | Optometrist | 14 Professional Ct, Lafayette, IN 47905-5152 | 2006-07-26 |
| 1023031416 | Ossip Optometry, P.c | Optometrist | 1919 E Markland Ave, Kokomo, IN 46901-6237 | 2006-07-26 |
| 1912920828 | Ossip Optometry, P.c | Optometrist | 5327 Grape Rd, Mishawaka, IN 46545-1344 | 2006-07-25 |
| 1992790901 | Ossip Optometry, P.c | Optometrist | 730 Executive Park Dr, Suite A, Greenwood, IN 46143-2300 | 2005-09-15 |
| 1356770333 | Ossip Optometry, P.c | Optometrist | 357 W Morgan St Ste C, Spencer, IN 47460-1255 | 2013-11-11 |
| 1639513427 | Ossip Optometry, P.c | Optometrist | 1033 Jackson St, Ste C, Columbus, IN 47201-5780 | 2013-04-23 |
| 1043569072 | Ossip Optometry, P.c | Optometrist | 101 W Kirkwood Ave, Ste 120, Bloomington, IN 47404-6129 | 2012-09-06 |
| 1306108741 | Ossip Optometry, P.c | Optometrist | 8137 Castleton Rd, Indianapolis, IN 46250-2035 | 2012-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | OSSIP OPTOMETRY, P.C. | 5455 Harrison Park Lane, Indianapolis, IN 46216 |
| Street Address |
4121 S MICHIGAN ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46614-2545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760733687 | Eyecare Indiana II, PC | Optometrist | 4121 S Michigan St, South Bend, IN 46614-2545 | 2012-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574013 | Hellen Gathesha | Nurse Practitioner | 2123 W Irvington Dr, South Bend, IN 46614 | 2020-06-30 |
| 1033759394 | Diane Galvas | Pharmacist | 1217 E. Ireland Rd., South Bend, IN 46614 | 2020-01-14 |
| 1730668690 | Julenne Henriquez-gil | Physical Therapist | 202 W Ireland Rd Ste 101a, South Bend, IN 46614 | 2018-08-11 |
| 1467747014 | Deidre A Coffey | Nurse Practitioner | 1025 Widener Ln, South Bend, IN 46614 | 2011-06-12 |
| 1588727655 | Wal-mart Stores East, Lp | Technician/Technologist | 700 W. Ireland Rd., South Bend, IN 46614 | 2006-12-19 |
| 1437262847 | Lori F Risser | Dentist | 734 E Ireland Rd, South Bend, IN 46614 | 2006-08-17 |
| 1912388018 | Laura Ellen Albright | Family Medicine | 2102 E Inwood Rd, South Bend, IN 46614 | 2015-06-15 |
| 1245626225 | Kathleen Kelley | Dermatology | 1815 E Ireland Rd, South Bend, IN 46614 | 2015-04-07 |
| 1073869806 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1950 Ridgedale Rd, South Bend, IN 46614 | 2012-07-30 |
| 1326300666 | Kristine Marie Jones | Optometrist | 700 W Ireland Rd, South Bend, IN 46614 | 2012-06-12 |
| Find all providers in zip 46614 | ||||
| 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 |
|---|---|---|---|---|
| 1104312552 | Myeyedr Optometry of Indiana, LLC | Optometrist | 315 W Ireland Rd # 103, South Bend, IN 46614-3802 | 2018-07-09 |
| 1831649706 | Ossip Optometry, PC | Optometrist | 315 W Ireland Rd, Unit 103, South Bend, IN 46614-3802 | 2016-10-04 |
| 1275848962 | Charles Mikel Craig | Optometrist | 220 N. Ironwood Dr., South Bend, IN 46615 | 2010-08-18 |
| 1902944325 | Family Eye Care of South Bend | Optometrist | 220 North Ironwood, South Bend, IN 46615-1623 | 2007-02-01 |
| 1700971686 | Professional Vision Inc | Optometrist | 4630 W Western Ave, South Bend, IN 46619-2304 | 2006-10-04 |
| 1023069283 | Christopher J. Wolf, Od, Inc | Optometrist | 4123 S Michigan St, South Bend, IN 46614-2545 | 2006-05-13 |
| 1740241975 | Bob H Graf | Optometrist | 2004 Edison Rd Ste A, South Bend, IN 46617-1712 | 2006-03-29 |
| 1740258441 | Ronald Lee Snyder | Optometrist | 17615 State Rd 23, South Bend, IN 46635 | 2006-03-09 |
| 1306813464 | Lawrence A Shinneman | Optometrist | 4121 S. Michigan Street, South Bend, IN 46614-2545 | 2006-03-07 |
| 1316935208 | Michael John Rotheker | Optometrist | 17615 State Road 23, South Bend, IN 46635 | 2005-10-13 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46614 |
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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.