Region Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003544A Issued in IN

Legal business name

REGION EYE CARE LLC

Doing business as

South Shore Eye Care

Practice address

10413 Calumet Ave.
Munster, IN 46321

Phone

(219) 902-4176

NPI assigned

Apr 9, 2018

Last updated

Sep 20, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Zachary Taylor Jones, O.D.NPI 1871757062

Title

Optometrist

Phone

(219) 902-4176

Specialties & licenses 1

Addresses

Other names 1

• South Shore Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zachary Taylor Jones, O.D.

  • Optometrist
  • Lansing, IL
  • NPI 1871757062

  IN

  Medicare reassignment Care Compare group NPD Authorized official
• Kaitlyn Renae Gibson, OD

  • Optometrist
  • Cedar Lake, IN
  • NPI 1992319719
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1043717945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10413 CALUMET AVE.",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-902-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10413 CALUMET AVE.",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-902-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "219-902-4176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003544A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Shore Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Shore Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Sue Reader, MS, RN, CNS
• Karen Sue Redar, LCSW
• Ramachandra V Reddy, M.D.
• Raquel Elisa Redondo, M.D.
• Richard George Reffkin, DDS
• Region Vein
• Rehabilitation Medicine Associates PC
• Sarah Rehak, MS, CCC-SLP
• Shan Rehman, D.O.
• Jamie Rehmel, PHD

• Optometrist in Munster, IN
• Providers in Munster, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.