NPIMap

Organization Active NPI

Indiana Vision Group, LLC

Doing business as Elite Eye Care

  • Optometrist
  • Portland, IN
National Provider Identifier
1063349561
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
INDIANA VISION GROUP, LLC
Doing business as
Elite Eye Care
Practice address
1111 N Meridian St
Portland, IN 47371-1024
Phone
(260) 726-4210
Fax
(260) 726-9347
NPI assigned
May 7, 2026
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
INDIANA VISION GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Abby Small, ODNPI 1457975484
Title
Member
Phone
(260) 726-4210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1111 N Meridian St
Portland, IN 47371-1024

Mailing address

PO Box 1268
Portland, IN 47371-3268
Phone (260) 726-4210

Other names 1

  • Elite Eye Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Indiana Vision Group, LLC1111 N Meridian St, Portland, IN 47371-1024(260) 726-4210 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jun 1, 2024

National Provider Directory

National Provider Directory
Tax ID family
Indiana Vision Group LLC2 organizations share this tax ID, including this one
Part of
Indiana Vision Group LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1063349561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1268",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473713268",
            "telephone_number": "260-726-4210",
            "fax_number": "260-726-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N MERIDIAN ST",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473711024",
            "telephone_number": "260-726-4210",
            "fax_number": "260-726-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA VISION GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDIANA VISION GROUP, LLC",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "260-726-4210",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.