Indiana Vision Clinic, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001593B Issued in IN

Legal business name

INDIANA VISION CLINIC, INC

Practice address

2004 Edison Rd
Suite a
South Bend, IN 46617-1712

Phone

(574) 288-2400

Fax

(574) 288-7132

NPI assigned

Jun 11, 2006

Last updated

Oct 21, 2010By 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. Ronald Milovich, ODNPI 1093709602

Title

Owner/Optometrist

Phone

(574) 288-2400

Specialties & licenses 1

Addresses

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.

• Ronald Milovich, O.D.

  • Optometrist
  • South Bend, IN
  • NPI 1093709602
  Authorized official Same address or phone

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1497797047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 EDISON RD",
            "address_2": "SUITE A",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171712",
            "telephone_number": "574-288-2400",
            "fax_number": "574-288-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 EDISON RD",
            "address_2": "SUITE A",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171712",
            "telephone_number": "574-288-2400",
            "fax_number": "574-288-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA VISION CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "MILOVICH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "574-288-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001593B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiana Health Centers, Inc (South Bend at Oaklawn)
• Indiana Health Centers, Inc.
• Indiana Health Centers, Inc. (IHC at Michigan St)
• Indiana Hearing LLC (Miracle Ear)
• Indiana University South Bend Health & Wellness Center
• Infinity Behavioral Systems LLC
• Keely Ingalls, RBT
• Imani Ingram, MPA, ACIT
• Integrative Care Partners LLC
• Interbeing, LLC

• Optometrist in South Bend, IN
• Providers in South Bend, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.