Indiana Vision Clinic, Inc in South Bend - Optometrist
Indiana Vision Clinic, Inc - NPI 1497797047
Indiana Vision Clinic, Inc is a Optometrist in South Bend, Indiana. Indiana Vision Clinic, Inc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Indiana Vision Clinic, Inc is 1497797047. The last update date is 2010-10-21.
Indiana Vision Clinic, Inc's current location address is 2004 Edison Rd, South Bend, Indiana. You can contact this provider via phone number 5742882400 and fax number 5742887132. The mailing address for Indiana Vision Clinic, Inc is 2004 Edison Rd, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Indiana Vision Clinic, Inc |
|---|---|
| Address | 2004 Edison Rd, South Bend, Indiana |
| Phone Number | 5742882400 |
| Fax Number | 5742887132 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/OPTO |
|---|---|
| Authorized Official Name | Milovich Ronald |
| Credentials | OD |
| Telephone Number | 5742882400 |
NPI Number Detail
| NPI Number | 1497797047 |
|---|---|
| Provider Enumeration Date | 2006-06-11 |
| Last Updated Date | 2010-10-21 |
Provider Mailing Address Detail
| Address | 2004 Edison Rd |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466171712 |
| Phone Number | 5742882400 |
| Fax Number | 5742887132 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 18001593B |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 273027 | IN | BLUE CROSS BLUE SHIELD | |
| 200380990 | IN | -- | |
| 1171 | IN | SPECTERA |
Post Comment/ Review Below
What is the Indiana Vision Clinic, Inc's unique identification number?
The Indiana Vision Clinic, Inc has been assigned the NPI (National Provider Identifier) Number 1497797047 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
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: 2004 Edison Rd, South Bend, IN 466171712.
What is Indiana Vision Clinic, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Indiana Vision Clinic, Inc is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497797047 to Indiana Vision Clinic, Inc?
The Centers for Medicare & Medicaid Services assigned the 1497797047 to Indiana Vision Clinic, Inc on 2006-06-11.
When was the information regarding Indiana Vision Clinic, Inc most recently updated?
The details pertaining to the Indiana Vision Clinic, Inc, including its address, specialty, and other relevant information, were last refreshed on 2010-10-21.