Elite Vision Consultants

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ELITE VISION CONSULTANTS

Practice address

123 N Main St Ste 102
Crown Point, IN 46307-4077

Phone

(219) 310-2723

NPI assigned

Oct 21, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Stephan George Kossis, ODNPI 1962859512

Title

Owner/Optometrist

Phone

(216) 789-9066

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephan George Kossis, O.D.

  • Optometrist
  • Munster, IN
  • NPI 1962859512
  Medicare reassignment Care Compare group NPD Authorized official
• Emily Mangiaracina, OD

  • Optometrist
  • Crown Point, IN
  • NPI 1700314630
  Care Compare group

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1841833142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N MAIN ST STE 102",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463074077",
            "telephone_number": "219-310-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N MAIN ST STE 102",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463074077",
            "telephone_number": "219-310-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE VISION CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "KOSSIS",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "216-789-9066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210361680",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1962859512",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul W Ek
• Vignan Ele, AU.D.
• Elite Diagnostics LLC
• Elite Diagnostics, LLC
• Elite Internal Medicine PC
• Arnolfo B Elman, M.D.
• Kaitlin Elsasser
• Said Elshity, RPT
• Laura Mae Emery, FNP
• Rachel Englert

• Optometrist in Crown Point, IN
• Providers in Crown Point, 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, 2019; 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.