Optometric Associates of South Bend

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OPTOMETRIC ASSOCIATES OF SOUTH BEND

Practice address

350 S Van Buren St
Ste. 2B
Shipshewana, IN 46565-9197

Phone

(260) 768-7721

Fax

(260) 768-7721

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas D. Morlan, ODNPI 1790787414

Title

Owner

Phone

(260) 768-7721

Specialties & licenses 1

Addresses

Other names 1

• Insight Total Family Eyecare Doing business as

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas D Morlan, O.D.

  • Optometrist
  • South Bend, IN
  • NPI 1790787414
  NPD (past) Authorized official
• Daniel O. Elliott III, OD

  • Optometrist
  • South Bend, IN
  • NPI 1083614267
  NPD (past)

Locations

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1508937855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S VAN BUREN ST",
            "address_2": "STE. 2B",
            "city": "SHIPSHEWANA",
            "state": "IN",
            "postal_code": "465659197",
            "telephone_number": "260-768-7721",
            "fax_number": "260-768-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S VAN BUREN ST",
            "address_2": "STE. 2B",
            "city": "SHIPSHEWANA",
            "state": "IN",
            "postal_code": "465659197",
            "telephone_number": "260-768-7721",
            "fax_number": "260-768-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC ASSOCIATES OF SOUTH BEND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "MORLAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-768-7721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insight Total Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Maggard
• Dora Martin-Eash, LCSW
• Stephanie Lynne McNamara, NP-C
• Midwest Eye Consultants, P.C.
• Mindful and Well
• Thomas Anthony Pechin II, M. D.
• Premise Health of Indiana Medical PC
• Renew Hope Counseling Inc
• Charlene Jean Roth, LMFT
• Harry Scott III, D.O.

• All providers in Shipshewana, IN
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.