DRS. ROUSH & WILL OPTOMETRISTS INC. NPI 1275656209

NPI Information

  • NPI: 1275656209
  • Provider Name: DRS. ROUSH & WILL OPTOMETRISTS, INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 781 E. NORTH ST.
    KENDALLVILLE, IN
    ZIP 46755
  • Phone: (260) 347-3458

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NPI Details

DRS. ROUSH & WILL OPTOMETRISTS, INC. is a durable medical equipment medical supplies in Kendallville, IN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. DRS. ROUSH & WILL OPTOMETRISTS, INC. NPI is 1275656209. The provider is registered as an organization entity type.

The provider's business location address is:

781 E. NORTH ST.
KENDALLVILLE, IN
ZIP 46755-225
Phone: (260) 347-3458
Fax: (260) 347-4425

The provider's authorized official is R Alan Roush .
The authorized official title is President and has the following contact phone number (260) 347-3611.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 7/28/2016.

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
1332B00000XDurable Medical Equipment & Medical Supplies56000032AINDIANAYes

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
1100355140BMEDICAIDINDIANA
2967880MEDICARE ID-TYPE UNSPECIFIEDINDIANAGROUP NUMBER
3100355140AMEDICAIDINDIANA
40921390001MEDICARE 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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