David R Imes, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-008315 Issued in IL

Practice address

611 E Douglas Rd
Suite 102
Mishawaka, IN 46545-1464

Phone

(574) 271-1114

Fax

(574) 271-1644

NPI assigned

Jan 11, 2007

Last updated

May 27, 2015By 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 1

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

Indiana University - School of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Eye Consultants PCGroup PAC ID 2961399217, 71 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

55.99 of 100Reported as group

Quality

31.67

Improvement activities

40

Cost

78.58

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Midwest Eye Consultants, P.C.

  dba Cataract & Laser Institute

  • Ophthalmology Physician
  • Fort Wayne, IN
  • NPI 1912960535
  Medicare reassignment Care Compare group NPD
• Midwest Eye Consultants, P.C.

  dba Midwest Eye Consultants #25

  • Optometrist
  • Kokomo, IN
  • NPI 1003879628
  NPD
• Midwest Eye Consultants P.C.

  dba Midwest Eye Consultants #31

  • Optometrist
  • Crown Point, IN
  • NPI 1134641202
  NPD (past)
• Midwest Eye Consultants, P.C.

  dba Midwest Eye Consultants #35

  • Optometrist
  • Chesterton, IN
  • NPI 1023066784
  NPD (past)
• Midwest Eye Consultants, P.C.

  dba Cataract and Laser Institute Fort Wayne #26

  • Ophthalmology Physician
  • Fort Wayne, IN
  • NPI 1366199192

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1881744894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469920549",
            "telephone_number": "260-569-9550",
            "fax_number": "260-569-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E DOUGLAS RD",
            "address_2": "SUITE 102",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451464",
            "telephone_number": "574-271-1114",
            "fax_number": "574-271-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMES",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201148680",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dyana Yarely Ibarra Romero
• Icr Adolescents Operating Subsidiary, LLC
• Icr South Bend Operating Subsidiary, LLC
• Sandy Imanse, LMSW
• Nancy Nasilele Imasiku, MSN, APRN, FNP
• Impact Chiropractic LLC
• Denise Dee Imperial, RD
• Indiana Center for Recovery Adolescent Program LLC
• Indiana Center for Recovery South Bend, LLC (Hoosier Wellness Providers)
• Indiana Physicians Eyecare Group, P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.