Eyecare Indiana II, PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYECARE INDIANA II, PC

Doing business as

C&B Optical One

Practice address

4121 S Michigan St
South Bend, IN 46614-2545

Phone

(574) 291-9200

Fax

(574) 299-4423

NPI assigned

Oct 2, 2012

Last updated

Nov 16, 2012By 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

Terri Peschke

Title

Coo

Phone

(574) 291-9200

Specialties & licenses 1

Addresses

Other names 1

• C&B OPTICAL ONE Doing business as

Practitioners 1

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.

• Gregg L Ossip, O.D.

  • Optometrist
  • Indianapolis, IN
  • NPI 1528123460
  NPD (past)

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1760733687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 S MICHIGAN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142545",
            "telephone_number": "574-291-9200",
            "fax_number": "574-299-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 S MICHIGAN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142545",
            "telephone_number": "574-291-9200",
            "fax_number": "574-299-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE INDIANA II, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "PESCHKE",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "574-291-9200"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C&B OPTICAL ONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• 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 Nov 16, 2012; 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.