DRS Roush & Will Optometrists Inc
A Medicare group practice based in Kendallville, IN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 9830165026), with 5 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9830165026
- Also listed as
- DRS Roush and Will Optometrists Inc
- Provider type
- DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
- Enrolled in
- IN
- Enrollments
- 3
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040908001624 | IN | Part B Supplier - Clinic/Group Practice | 1578613295 |
| O20100930078232 | IN | DME Supplier - Physician - Optometrist | 1275656209 |
| O20120427000082 | IN | DME Supplier - Physician - Optometrist | 1730451279 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
DRS. Roush & Will Optometrists Inc
- Optometrist
- Kendallville, IN
- NPI 1578613295
-
DRS. Roush & Will Optometrists Inc
- Eyewear Supplier
- Albion, IN
- NPI 1730451279
-
DRS. Roush & Will Optometrists, Inc.
- Durable Medical Equipment & Medical Supplies
- Kendallville, IN
- NPI 1275656209
Practice locations
- Albion, IN2
- Kendallville, IN2
- Ligonier, IN1
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (5).
-
Craig A. Bonham, O.D.
- Optometrist
- Fort Wayne, IN
- NPI 1578525341
-
Craig Michael Lichlyter, O.D.
- Optometrist
- Kendallville, IN
- NPI 1720392020
-
Elizabeth Jane Roush, O.D.
- Optometrist
- Kendallville, IN
- NPI 1336451640
-
Robert Alan Roush, O.D.
- Optometrist
- Kendallville, IN
- NPI 1003811860
-
Matthew S Will, O.D.
- Optometrist
- Kendallville, IN
- NPI 1710982475
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.