Northeast Ophthalmology P C

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NORTHEAST OPHTHALMOLOGY P C

Doing business as

Vision Care

Practice address

7750 W Jefferson Blvd Ste B
Fort Wayne, IN 46804-4174

Phone

(260) 459-9595

NPI assigned

Aug 7, 2019

Last updated

Nov 5, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTHEAST OPHTHALMOLOGY P CAs reported in NPPES

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

Authorized official

Name

Barbara Schroeder, MDNPI 1154329100

Title

Partner

Phone

(260) 422-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vision Care Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Northeast Ophthalmology P C

  • Durable Medical Equipment & Medical Supplies
  • Fort Wayne, IN
  • NPI 1235846650

  4688611692

  Same PAC ID
• Northeast Ophthalmology P C

  • Ophthalmology Physician
  • Fort Wayne, IN
  • NPI 1265418719

  4688611692

  Same PAC ID
• Northeast Ophthalmology PC

  • Eyewear Supplier
  • Fort Wayne, IN
  • NPI 1538178496

  4688611692

  Same PAC ID

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

CLIA laboratory certificates

Tax ID family

Northeast Ophthalmology P C4 organizations share this tax ID, including this one

Part of

Northeast Ophthalmology P C

Other organizations with this tax ID 3

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

• Northeast Ophthalmology P C

  • Durable Medical Equipment & Medical Supplies
  • Fort Wayne, IN
  • NPI 1235846650
  NPD tax ID
• Northeast Ophthalmology P C

  • Ophthalmology Physician
  • Fort Wayne, IN
  • NPI 1265418719
  NPD tax ID
• Northeast Ophthalmology PC

  • Eyewear Supplier
  • Fort Wayne, IN
  • NPI 1538178496
  NPD tax ID

Locations

Practitioners 1

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.

• Barbara Schroeder, M.D.

  • Ophthalmology Physician
  • Fort Wayne, IN
  • NPI 1154329100
  Authorized official Same address or phone

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1255986162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 W JEFFERSON BLVD STE B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044174",
            "telephone_number": "260-459-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 W JEFFERSON BLVD STE B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044174",
            "telephone_number": "260-459-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST OPHTHALMOLOGY P C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHEAST OPHTHALMOLOGY P C",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "260-422-3937",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300007703",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cell",
            "affiliation": "N",
            "address_1": "7750 W Jefferson Blvd",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468044174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Northeast Ophthalmology P C
• Northeast Ophthalmology P C
• Northeast Ophthalmology PC
• Northeast X-Ray
• Northern Brace Company Inc
• Northern Indiana Interim Healthcare (Interim HomeStyle Services of Fort Wayne)

• Ophthalmology Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.