Organization Active NPI

Family Vision Associates PC

  • Durable Medical Equipment & Medical Supplies
  • Elkhart, IN
National Provider Identifier
1235390576
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
18001767A&B Issued in IN
Legal business name
FAMILY VISION ASSOCIATES PC
Practice address
1751 E Bristol St
Elkhart, IN 46514-3968
Phone
(574) 264-5001
NPI assigned
Jun 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Susan Westfall Erdmann, O.D.
Title
Optometrist
Phone
(574) 264-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 18001767A&B IN Primary

Addresses

Primary practice location

1751 E Bristol St
Elkhart, IN 46514-3968

Mailing address

1751 E Bristol St
Elkhart, IN 46514-3968

National Provider Directory

National Provider Directory

Locations

1751 E Bristol St
Elkhart, IN 46514
Phone (219) 264-5001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1235390576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 E BRISTOL ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465143968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 E BRISTOL ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465143968",
            "telephone_number": "574-264-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "ERDMANN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "WESTFALL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "574-264-5001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "18001767A&B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.