Individual provider Active NPI

Tamara N. Schwalbe, OD

  • Optometrist
  • South Bend, IN
National Provider Identifier
1568758712
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003867A Issued in IN
Practice address
315 W Ireland Rd Ste 103
South Bend, IN 46614-3849
Phone
(574) 291-9200
Fax
(574) 291-9859
NPI assigned
Jun 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003867A IN Primary

Addresses

Primary practice location

315 W Ireland Rd Ste 103
South Bend, IN 46614-3849

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970

Other names 1

  • Tamara N. Levan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150306001231 IN Practitioner - Optometry 4082883392 Reassigns benefits to 1 organization
I20161110002225 MI Practitioner - Optometry 4082883392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17793 Bromley Chase
South Bend, IN 46614-9142

1950 Old Gallows Rd
Suite 520
Vienna, VA 22182-3920

517 Lincolnway E
Mishawaka, IN 46544-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3267MNMDProfessional Counselor
18003867AINMDOptometrist
4901002348MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Dec 31, 2018 Accepting new patients
Niles Vision Clinic, P.C. Optometrist CurrentSince Nov 16, 2016 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Dec 31, 2018 Accepting new patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. Past Accepting new patients
Onhealthcare LLC Past Accepting new patients

Locations

3701 S Main St
Elkhart, IN 46517
Phone (574) 875-4499

9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200

100 S Creasy Ln
Ste 1530
Lafayette, IN 47905
Phone (765) 447-5083

279 W 80th Pl
Merrillville, IN 46410
Phone (219) 738-2180

3701 Franklin St
Michigan City, IN 46360
Phone (219) 872-8844

5111 N Main St
Ste 200
Mishawaka, IN 46545
Phone (574) 277-8121

315 W Ireland Rd
Ste 103
South Bend, IN 46614
Phone (574) 291-9200

315 W Ireland Rd
Ste 200
South Bend, IN 46614
Phone (574) 291-9200

9 S Saint Joseph Ave
Niles, MI 49120
Phone (269) 683-4040

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1568758712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W IRELAND RD STE 103",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466143849",
            "telephone_number": "574-291-9200",
            "fax_number": "574-291-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWALBE",
        "first_name": "TAMARA",
        "middle_name": "N.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003867A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "LEVAN",
            "middle_name": "N.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.