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INDIANA VISION CLINIC INC NPI 1497797047


NPI Information

NPI: 1497797047
Provider Name: INDIANA VISION CLINIC, INC
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
2004 EDISON RD
SUITE A
SOUTH BEND, IN
ZIP 46617
Phone: (574) 288-2400
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INDIANA VISION CLINIC, INC is an optometrist in South Bend, IN. The provider is 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. INDIANA VISION CLINIC, INC NPI is 1497797047. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2004 EDISON RD
SUITE A
SOUTH BEND, IN
ZIP 46617-712
Phone: (574) 288-2400
Fax: (574) 288-7132

The provider's authorized official is Ronald Milovich .
The authorized official title is Owner/optometrist and has the following contact phone number (574) 288-2400.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 10/21/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist18001593BINDIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101171OTHERINDIANASPECTERA
2200380990MEDICAIDINDIANA
3000000273027OTHERINDIANABLUE CROSS BLUE SHIELD
42550910001MEDICARE NSCINDIANA
5194030MEDICARE PININDIANA
6DB3916MEDICARE PININDIANA
7=========OTHERINDIANAVISION CARE PLAN

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: 11/14/2023

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