Active NPI
Ronald Milovich, O.D.
- Optometrist
- South Bend, IN
National Provider Identifier
1093709602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18001593A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100273116 | Other | IN | BLUE CROSS SOUTH BEND |
| 351368448 | Other | IN | VISION CARE PLAN |
| 01171 | Other | IN | SPECTERA |
| 100150490 | Medicaid | IN | |
| 351368448 | Other | IN | VISION SERVICE PLAN |
| IN81594 | Other | IN | VISIONBENEFITS OF AMERICA |
| 32790 | Other | IN | INDIANA HEALTH NETWORK |
| 118467 | Other | IN | EYE MED SO BEND |
Other names 1
- Dr. Ronald Milovich
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18001593A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Garcia and Associates, PC | Optometrist | Current | 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.
-
- Optometrist
- Mishawaka, IN
- NPI 1881892206
-
- Optometrist
- Mishawaka, IN
- NPI 1679822035
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.