DRS. Roush & Will Optometrists Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

56000032A Issued in IN

Legal business name

DRS. ROUSH & WILL OPTOMETRISTS INC

Practice address

809 Lincolnway South
Ligonier, IN 46767-1700

Phone

(260) 894-3909

Fax

(260) 894-3904

NPI assigned

Feb 10, 2012

Last updated

Feb 13, 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

Dr. Robert Alan Roush, O.D.NPI 1003811860

Title

President

Phone

(260) 347-3611

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 2

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.

• Robert Alan Roush, O.D.

  • Optometrist
  • Kendallville, IN
  • NPI 1003811860
  Authorized official Same address or phone
• Matthew S Will, O.D.

  • Optometrist
  • Kendallville, IN
  • NPI 1710982475
  NPD (past)

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1780957589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W RUSH ST",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467551739",
            "telephone_number": "260-347-3458",
            "fax_number": "260-347-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 LINCOLNWAY SOUTH",
            "city": "LIGONIER",
            "state": "IN",
            "postal_code": "467671700",
            "telephone_number": "260-894-3909",
            "fax_number": "260-894-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. ROUSH & WILL OPTOMETRISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "ROUSH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-347-3611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IN",
            "license": "56000032A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100355140C",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100355140A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100355140B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "967880",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Young Cornett, L.C.S.W.
• Gregory Allen Cox, DC
• David M Griffith Dental (Ligonier Dental Care)
• Alondra De Luna Perez
• Bruce W Dragoo, DDS
• Jolene Durham, P.T.A.
• Jennifer Ferrell-Tester, P.T.
• Lori Ann Fleshman
• Geoffrey K. Hemmick, OD
• Goshen Health System, Inc (Goshen Physicians)

• Eyewear Supplier in Ligonier, IN
• Providers in Ligonier, IN by specialty
• Eyewear Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.