Marion Family Optometrists, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

18001734B Issued in IN

Legal business name

MARION FAMILY OPTOMETRISTS, INC.

Practice address

905 Manchester Ave
Wabash, IN 46992-1639

Phone

(260) 563-0884

NPI assigned

Dec 17, 2007

Last updated

Jul 23, 2024By 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

Eric E Dale, O.D.NPI 1669664363

Title

President

Phone

(765) 662-6648

Specialties & licenses 1

Addresses

Other identifiers 2

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

Locations

Practitioners 11

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.

• Eric E Dale, OD

  • Optometrist
  • Wabash, IN
  • NPI 1669664363
  Medicare reassignment Care Compare group NPD Authorized official
• Eric Robert Blickensderfer, OD

  • Optometrist
  • Huntington, IN
  • NPI 1750102083
  Medicare reassignment Care Compare group NPD
• Jack Derby, OD

  • Optometrist
  • Marion, IN
  • NPI 1841671948
  Medicare reassignment Care Compare group NPD
• J Jeffrey Hughes, OD

  • Optometrist
  • Huntington, IN
  • NPI 1093763989
  Medicare reassignment Care Compare group NPD
• Anthony Offerle, OD

  • Optometrist
  • Huntington, IN
  • NPI 1598438905
  Medicare reassignment Care Compare group NPD
• Kelsey Schlegelmilch

  • Optometrist
  • Logansport, IN
  • NPI 1235581224
  Medicare reassignment Care Compare group NPD
• Ashley Nicole Yearling, O.D.

  • Optometrist
  • Marion, IN
  • NPI 1619238540
  Medicare reassignment Care Compare group NPD
• Lauren Dobson, OD

  • Optometrist
  • Wabash, IN
  • NPI 1811514359
  Medicare reassignment NPD
• Eric D Harman

  • Optometrist
  • Huntington, IN
  • NPI 1194811737
  Medicare reassignment NPD
• Derek Price, OD

  • Optometrist
  • Marion, IN
  • NPI 1255824306
  Medicare reassignment NPD
• Travis Christopher Stephens, O.D.

  • Optometrist
  • Kokomo, IN
  • NPI 1306295894
  Medicare reassignment NPD

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1457534125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MANCHESTER AVE",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921639",
            "telephone_number": "260-563-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MANCHESTER AVE",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921639",
            "telephone_number": "260-563-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION FAMILY OPTOMETRISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-662-6648",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "18001734B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100253710A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100253710B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa M Duncan Strieter DDS LLC
• Lutheran Health Imaging LLC (Lutheran Health Imaging)
• Charles Roger Lyons Jr., MD
• Michael C Lyons II, DPM
• Marion Family Optometrists, Inc. (Family Optometry)
• Robert John Mattern, DDS
• Ana-Alicia McCallen
• James P McCann, MD
• Rachel Marie McCoy, COTA
• Seth McKinney, D.C.

• Durable Medical Equipment & Medical Supplies in Wabash, IN
• Providers in Wabash, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.