Organization Active NPI

DRS Kintner & Shearer

  • Optometrist
  • Mishawaka, IN
National Provider Identifier
1609959907
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DRS KINTNER & SHEARER
Practice address
517 Lincoln Way E
Mishawaka, IN 46544-2211
Phone
(574) 255-3180
Fax
(574) 255-4182
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Mrs. Beth Ann Taylor
Title
Insurance
Phone
(574) 255-3180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

517 Lincoln Way E
Mishawaka, IN 46544-2211

Mailing address

517 Lincoln Way E
Mishawaka, IN 46544-2211
Phone (574) 255-3180

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1609959907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 LINCOLN WAY E",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442211",
            "telephone_number": "574-255-3180",
            "fax_number": "574-255-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 LINCOLN WAY E",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442211",
            "telephone_number": "574-255-3180",
            "fax_number": "574-255-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS KINTNER & SHEARER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "INSURANCE",
        "authorized_official_telephone_number": "574-255-3180",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.