Fort Wayne Vision Associates LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003265 Issued in IN

Legal business name

FORT WAYNE VISION ASSOCIATES LTD

Doing business as

Eye Specs on Main

Practice address

515 E Coliseum Blvd
Fort Wayne, IN 46805-1215

Phone

(260) 373-2033

NPI assigned

Dec 6, 2012

Last updated

Aug 12, 2021By 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. Zubair Asif KhanNPI 1669547048

Title

President

Phone

(260) 418-8089

Specialties & licenses 1

Addresses

Other names 1

• Eye Specs on Main Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

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.

• Zubair Asif Khan, O.D.

  • Optometrist
  • Fort Wayne, IN
  • NPI 1669547048
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1437494143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E COLISEUM BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468051215",
            "telephone_number": "260-373-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E COLISEUM BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468051215",
            "telephone_number": "260-373-2033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 W Main St",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468021608",
            "country_code": "US",
            "telephone_number": "260-373-2033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORT WAYNE VISION ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ZUBAIR",
        "authorized_official_middle_name": "ASIF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-418-8089",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Specs on Main",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fort Wayne Seating & Rehab Corporation
• Fort Wayne Smiles PC
• Fort Wayne Upright MRI, LLC
• Fort Wayne Urology Inc.
• Fort Wayne Vascular Care LLC (Nephrology Associates of Northern Indiana PC)
• Jill Diane Forte, M.S., BCBA
• Robert A Forte, MD
• Guy H Fortier, DDS
• Zachary Edward Fortier, DMD
• Fortify Physical Therapy LLC

• Optometrist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.