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 |
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Address | 2730a Cassopolis St, Elkhart, Indiana |
Phone Number | 5742665470 |
Fax Number | 5742643081 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Milovich Ronald |
Credentials | OD |
Telephone Number | 5742665470 |
NPI Number Detail
NPI Number | 1710997044 |
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Provider Enumeration Date | 2006-08-09 |
Last Updated Date | 2010-10-21 |
Provider Mailing Address Detail
Address | 2730a Cassopolis St |
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City | Elkhart |
State | Indiana (IN) |
Post Code | 465145102 |
Phone Number | 5742665470 |
Fax Number | 5742643081 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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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 |
Post Comment/ Review Below
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.