Indiana Vision Clinic, Inc in Elkhart - Optometrist

Indiana Vision Clinic, Inc - NPI 1710997044

Indiana Vision Clinic, Inc is a Optometrist in Elkhart, Indiana. Indiana Vision Clinic, Inc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Indiana Vision Clinic, Inc is 1710997044. The last update date is 2010-10-21.

Indiana Vision Clinic, Inc's current location address is 2730a Cassopolis St, Elkhart, Indiana. You can contact this provider via phone number 5742665470 and fax number 5742643081. The mailing address for Indiana Vision Clinic, Inc is 2730a Cassopolis St, Elkhart, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Indiana Vision Clinic, Inc
Address 2730a Cassopolis St, Elkhart, Indiana
Phone Number 5742665470
Fax Number 5742643081
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Milovich Ronald
Credentials OD
Telephone Number 5742665470

NPI Number Detail

NPI Number 1710997044
Provider Enumeration Date 2006-08-09
Last Updated Date 2010-10-21

Provider Mailing Address Detail

Address 2730a Cassopolis St
City Elkhart
State Indiana (IN)
Post Code 465145102
Phone Number 5742665470
Fax Number 5742643081

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 18001593A
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
273028 IN BCBS ELKHART GROUP
200380990B IN --
2550910002 IN DURABLE MEDICAL EQUIP

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FAQs about Indiana Vision Clinic, Inc

What is the unique 10-digit identifier code assigned to Indiana Vision Clinic, Inc by the Centers for Medicare & Medicaid Services?

The Indiana Vision Clinic, Inc has been issued the NPI (National Provider Identifier) 1710997044 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Indiana Vision Clinic, Inc is physically located?

The Indiana Vision Clinic, Inc is situated at the following address: 2730A Cassopolis St, Elkhart, IN 465145102.

What is the Indiana Vision Clinic, Inc's specialty and taxonomy code?

The Indiana Vision Clinic, Inc's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.

On what date did the Indiana Vision Clinic, Inc receive its 1710997044 assignment from the Centers for Medicare & Medicaid Services?

The Indiana Vision Clinic, Inc was assigned its 1710997044 by the Centers for Medicare & Medicaid Services on 2006-08-09.

When was the Indiana Vision Clinic, Inc's information last updated?

The Indiana Vision Clinic, Inc's information was last updated on 2010-10-21.

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