Organization Active NPI

Dr Garcia and Associates, PC

  • Optometrist
  • Mishawaka, IN
National Provider Identifier
1881892206
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002420 Issued in IN
Legal business name
DR GARCIA AND ASSOCIATES, PC
Practice address
6501 Grape Rd
Suite 178
Mishawaka, IN 46545-1007
Phone
(574) 243-2384
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Dr. Debra Jacobs Garcia, ODNPI 1609951581
Title
President
Phone
(574) 243-2384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18002420 IN Primary

Addresses

Primary practice location

6501 Grape Rd
Suite 178
Mishawaka, IN 46545-1007

Mailing address

6501 Grape Rd
Suite 178
Mishawaka, IN 46545-1007
Phone (574) 243-2384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160725002489 IN Part B Supplier - Clinic/Group Practice 5193018422 Receives reassigned benefits from 4 practitioners
Practice locations: Mishawaka, IN

National Provider Directory

National Provider Directory

Locations

6501 Grape Rd
Ste 178
Mishawaka, IN 46545
Phone (574) 243-2384

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1881892206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 GRAPE RD",
            "address_2": "SUITE 178",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451007",
            "telephone_number": "574-243-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 GRAPE RD",
            "address_2": "SUITE 178",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451007",
            "telephone_number": "574-243-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GARCIA AND ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "JACOBS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-243-2384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.