Individual provider Active NPI

Ronald Milovich, O.D.

  • Optometrist
  • South Bend, IN
National Provider Identifier
1093709602
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001593A Issued in IN
Practice address
2004 Edison Rd
Suite a
South Bend, IN 46617-1712
Phone
(574) 288-2400
Fax
(574) 288-7132
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001593A IN Primary

Addresses

Primary practice location

2004 Edison Rd
Suite a
South Bend, IN 46617-1712

Mailing address

2004 Edison Rd
Suite a
South Bend, IN 46617-1712
Phone (574) 288-2400

Other identifiers 8

IdentifierTypeStateIssuer
100273116OtherINBLUE CROSS SOUTH BEND
351368448OtherINVISION CARE PLAN
01171OtherINSPECTERA
100150490MedicaidIN
351368448OtherINVISION SERVICE PLAN
IN81594OtherINVISIONBENEFITS OF AMERICA
32790OtherININDIANA HEALTH NETWORK
118467OtherINEYE MED SO BEND

Other names 1

  • Dr. Ronald Milovich Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101028000057 IN Practitioner - Optometry 0345288510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18001593AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Garcia and Associates, PC Optometrist CurrentSince Dec 27, 2025 Accepting new patients

Locations

6501 Grape Rd
Ste 178
Mishawaka, IN 46545
Phone (574) 243-2384

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1093709602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 EDISON RD",
            "address_2": "SUITE A",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171712",
            "telephone_number": "574-288-2400",
            "fax_number": "574-288-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 EDISON RD",
            "address_2": "SUITE A",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171712",
            "telephone_number": "574-288-2400",
            "fax_number": "574-288-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILOVICH",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001593A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SOUTH BEND",
            "identifier": "100273116",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION CARE PLAN",
            "identifier": "351368448",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "01171",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100150490",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "351368448",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISIONBENEFITS OF AMERICA",
            "identifier": "IN81594",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA HEALTH NETWORK",
            "identifier": "32790",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED SO BEND",
            "identifier": "118467",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONALD",
            "last_name": "MILOVICH",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.