NPIMap

Organization Active NPI

South Bend Optometrics, LLC

  • Low Vision Rehabilitation Optometrist
  • South Bend, IN
National Provider Identifier
1629360151
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
18003629A Issued in IN
Legal business name
SOUTH BEND OPTOMETRICS, LLC
Practice address
2933 Caroline St
South Bend, IN 46614-1545
Phone
(574) 386-2738
NPI assigned
May 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Dr. Yair S Elias, O.D.
Title
Optometrist
Phone
(574) 386-2738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WL0500X 18003629A IN Primary

Addresses

Primary practice location

2933 Caroline St
South Bend, IN 46614-1545

Mailing address

2933 Caroline St
South Bend, IN 46614-1545
Phone (574) 386-2738

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1629360151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 CAROLINE ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466141545",
            "telephone_number": "574-386-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 CAROLINE ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466141545",
            "telephone_number": "574-386-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BEND OPTOMETRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "YAIR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "574-386-2738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "IN",
            "license": "18003629A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.