Steven Ison

Primary specialty

OptometristTaxonomy code 152W00000X

License

18004057A Issued in IN

Practice address

3401 Lake Ave
Fort Wayne, IN 46805-5500

Phone

(260) 426-3095

NPI assigned

Jul 12, 2017

Last updated

Jul 17, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City Optical Co IncGroup PAC ID 5597668574, 49 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Bloomington, IN
  • NPI 1003805185
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Indiana, LLC

  dba MyEyeDr.

  • Optometrist
  • Lebanon, IN
  • NPI 1083100424
  Medicare reassignment NPD
• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Indianapolis, IN
  • NPI 1265429658
  NPD
• City Optical Co., Inc.

  dba Dr. Tavel Family Eye Care

  • Optometrist
  • Merrillville, IN
  • NPI 1356233068
  NPD
• Myeyedr Optometry of Indiana, LLC

  dba MyEyeDr.

  • Optometrist
  • Indianapolis, IN
  • NPI 1780170100
  NPD
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Munster, IN
  • NPI 1922974526
  NPD
• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Muncie, IN
  • NPI 1306070768
  NPD (past)
• City Optical Co., Inc.

  • Optometrist
  • Fishers, IN
  • NPI 1366274235
  NPD (past)
• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Westfield, IN
  • NPI 1730980046
  NPD (past)
• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Terre Haute, IN
  • NPI 1881683977
  NPD (past)

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1083136030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 LAKE AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 LAKE AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055500",
            "telephone_number": "260-426-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISON",
        "first_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004057A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isd Renal Inc (Lake Avenue Dialysis)
• Isd Renal Inc (South Anthony Dialysis)
• Isd Renal Inc (Central Fort Wayne Dialysis)
• Michael T Isenberg, MD
• Edna O Isiorho, RN, APN
• Vatche A Israbian, MD
• Christine Marie Itt, PHARMD
• Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC (IU Health Surgery Center Fort Wayne)
• IV Hydration Vitamin Therapy LLC
• Ivy Bridge Therapy LLC

• Optometrist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.