Eye Site Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYE SITE INC

Practice address

5323 N Main St
Mishawaka, IN 46545-9041

Phone

(574) 273-2727

NPI assigned

Oct 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kristina Swartz

Title

Owner/Optometrist

Phone

(574) 273-2727

Specialties & licenses 1

Addresses

Other names 1

• Eye Site Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

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

• Kristina Ruth Jordan, OD

  • Optometrist
  • Mishawaka, IN
  • NPI 1477579316

  IN

  Medicare reassignment

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1619203684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 N MAIN ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465459041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 N MAIN ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465459041",
            "telephone_number": "574-273-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SITE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "SWARTZ",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "574-273-2727",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Site Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica S Evans, NP
• Everside Health, LLC
• Jennifer C Ewing, NP
• Exhale Sinus Indiana Clinics LLC
• Extendicare Health Facilities, Inc.
• Eyecare Indiana II, PC
• Eyecare Indiana LL, PC
• Eyeglass Express
• Maria Elisabeth Faase, M.D.
• Family First Vision Care Indiana LLC

• All providers in Mishawaka, IN
• Eyewear Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.