Indiana Vision Group, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

INDIANA VISION GROUP, LLC

Practice address

882 SE Greenville Ave
Winchester, IN 47394-9293

Phone

(765) 584-1320

NPI assigned

Apr 22, 2024

Last updated

Sep 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adam Reichert, ODNPI 1164137246

Title

Optometrist/Owner

Phone

(419) 852-7660

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Tax ID family

Indiana Vision Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Indiana Vision Group, LLC

  dba Elite Eye Care

  • Optometrist
  • Portland, IN
  • NPI 1063349561
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Indiana Vision Group, LLC

  dba Elite Eye Care

  • Optometrist
  • Portland, IN
  • NPI 1063349561
  NPPES parent name

Practitioners 4

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.

• Adam Reichert

  • Optometrist
  • Winchester, IN
  • NPI 1164137246
  Medicare reassignment Care Compare group NPD Authorized official
• Gail F Stewart, O.D.

  • Optometrist
  • Winchester, IN
  • NPI 1851378459
  Medicare reassignment Care Compare group NPD
• David A Fullenkamp, O.D.

  • Optometrist
  • Portland, IN
  • NPI 1043297625
  Medicare reassignment
• Abby Elizabeth Small, OD

  • Optometrist
  • Portland, IN
  • NPI 1457975484
  Medicare reassignment

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1326893348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 SE GREENVILLE AVE",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473949293",
            "telephone_number": "765-584-1320",
            "fax_number": "765-584-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 SE GREENVILLE AVE",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473949293",
            "telephone_number": "765-584-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA VISION GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "REICHERT",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "419-852-7660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospice of Darke County, Inc (EverHeart Hospice)
• Pauletta J Hummel, FNP
• Shana Leann Iliff
• Indiana Emergency Physicians, LLP
• Indiana Physician Management-Randolph, LLC
• Abigail Journay, PTA
• S Kathryn Joyner, FNP-BC
• Audrey Keeley
• Amber L Keith, OTA
• Kenneth D Watkins MD

• Optometrist in Winchester, IN
• Providers in Winchester, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.