Indiana Vision Clinic, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001593A Issued in IN

Legal business name

INDIANA VISION CLINIC, INC

Practice address

2730A Cassopolis St
Elkhart, IN 46514-5102

Phone

(574) 266-5470

Fax

(574) 264-3081

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Milovich, OD

Title

Owner

Phone

(574) 266-5470

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1710997044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730A CASSOPOLIS ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465145102",
            "telephone_number": "574-266-5470",
            "fax_number": "574-264-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730A CASSOPOLIS ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465145102",
            "telephone_number": "574-266-5470",
            "fax_number": "574-264-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA VISION CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "MILOVICH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-266-5470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001593A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ELKHART GROUP",
            "identifier": "000000273028",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200380990B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DURABLE MEDICAL EQUIP",
            "identifier": "2550910002",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asma Iftikhar, M.D.
• Jean Ann Inbody, N.P.
• Asher Inclan
• Indiana Health & Rehabilitation Centers (Elkhart Rehabilitation Center)
• Indiana Physical Therapy, Inc.
• Enrique Eduardo Infante, M.D.
• Interventional Pain Specialist PC
• Interventional Spine and Pain, P.C.
• Sheri Irons, MSW
• J E Steele DDS PC

• Optometrist in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.