Eyecare Associates of Michiana, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002590 Issued in IN

Legal business name

EYECARE ASSOCIATES OF MICHIANA, LLC

Practice address

17477 Generations Dr
South Bend, IN 46635-1584

Phone

(574) 287-0890

Fax

(574) 287-0899

NPI assigned

Jun 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tom L Morton, ODNPI 1558366518

Title

Partner/OD

Phone

(574) 287-0890

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eyecare Associates of Michiana, LLC

  • Optometrist
  • New Carlisle, IN
  • NPI 1992737324

  O20060627000392

  Same enrollment

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tom L Morton, O.D.

  • Optometrist
  • South Bend, IN
  • NPI 1558366518
  Medicare reassignment Care Compare group NPD Authorized official
• John J Offerle, O.D.

  • Optometrist
  • South Bend, IN
  • NPI 1285639252
  Medicare reassignment Care Compare group NPD
• Kristina Offerle, O.D.

  • Optometrist
  • South Bend, IN
  • NPI 1639482904
  Medicare reassignment Care Compare group NPD
• Linnea M Robbins-Winters, O.D.

  • Optometrist
  • South Bend, IN
  • NPI 1730184060
  Medicare reassignment Care Compare group NPD
• Evan Joseph Zimmerman, OD

  • Optometrist
  • New Carlisle, IN
  • NPI 1144847757
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689610305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17477 GENERATIONS DRIVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46635",
            "telephone_number": "574-287-0890",
            "fax_number": "574-287-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17477 GENERATIONS DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351584",
            "telephone_number": "574-287-0890",
            "fax_number": "574-287-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE ASSOCIATES OF MICHIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER/OD",
        "authorized_official_telephone_number": "574-287-0890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002128",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001874",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everside Health LLC
• Everside Health, LLC
• Everside Health, LLC (Marathon Health, South Bend IN- Lincolnway E)
• Everside Health, LLC
• Dion Renell Exum
• Eyecare Indiana II, PC (C&B Optical One)
• Eyecare Indiana LL, PC (C&B Optical One)
• Eyemart Express LLC (Eyemart Express)
• Eyemart Express, LTD
• Darell Ezell II

• Optometrist in South Bend, IN
• Providers in South Bend, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.