Orlando Avena

Primary specialty

OptometristTaxonomy code 152W00000X

License

18004002A Issued in IN

Practice address

707 North Michigan Street, Suite 210
South Bend, IN 46601-1069

Phone

(574) 233-2114

Fax

(574) 288-8921

NPI assigned

Oct 25, 2016

Last updated

Feb 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Ophthalmology of Michiana LLCGroup PAC ID 3678528403, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.97 of 100Reported as group

Quality

100

Improvement activities

40

Cost

76.56

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Ophthalmology of Michiana LLC

  • Ophthalmology Physician
  • South Bend, IN
  • NPI 1548304876
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Indiana, LLC

  dba MyEyeDr.

  • Optometrist
  • Lebanon, IN
  • NPI 1083100424
  Medicare reassignment NPD
• Advanced Ophthalmology of Michiana LLC

  dba B & G Eye Care

  • Durable Medical Equipment & Medical Supplies
  • South Bend, IN
  • NPI 1962547984

  Optometrist

  NPD
• Myeyedr Optometry of Indiana, LLC

  dba MyEyeDr.

  • Optometrist
  • South Bend, IN
  • NPI 1104312552
  NPD
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Munster, IN
  • NPI 1922974526
  NPD
• Aeg Indiana Professional PC

  • Optometrist
  • Warsaw, IN
  • NPI 1043944127
  NPD (past)
• America's Best Contacts & Eyeglasses

  • Optician
  • Granger, IN
  • NPI 1134358450
  NPD (past)

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1831641919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 NORTH MICHIGAN STREET, SUITE 210",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011069",
            "telephone_number": "574-233-2114",
            "fax_number": "574-288-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 NORTH MICHIGAN STREET, SUITE 210",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011069",
            "telephone_number": "574-233-2114",
            "fax_number": "574-288-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVENA",
        "first_name": "ORLANDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-25",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005097",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004002A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300015571",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Austgen, M.D.
• Robert S. Austgen, DDS
• Robert J Austin, MD
• Taionna Simone Austin
• Kimberly J Avance, MSW
• Avenue Hematology and Oncology LLC
• Ellen Avery
• Brock Ayers, RBT
• Kay Ann Azar, BS-PT, MA
• B & H Counseling Services, LLC

• 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 Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.