CORY EYECARE PTR NPI 1033379987

NPI Information

  • NPI: 1033379987
  • Provider Name: CORY EYECARE PTR
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Address: 6509 CENTRAL AVE
    PORTAGE, IN
    ZIP 46368
  • Phone: (219) 762-4801

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NPI Details

CORY EYECARE PTR is an eyewear supplier in Portage, IN. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. CORY EYECARE PTR NPI is 1033379987. The provider is registered as an organization entity type.

The provider's business location address is:

6509 CENTRAL AVE
PORTAGE, IN
ZIP 46368-101
Phone: (219) 762-4801
Fax: (219) 764-9974

The provider's authorized official is Kim P Cory .
The authorized official title is Owner and has the following contact phone number (219) 762-4801.

The enumeration date for this NPI number is 6/13/2008 and was last updated on 1/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14647860001MEDICARE NSCINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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