Family Eye Care of South Bend

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001502B Issued in IN

Legal business name

FAMILY EYE CARE OF SOUTH BEND

Practice address

220 North Ironwood
South Bend, IN 46615-1623

Phone

(157) 428-7088

Fax

(157) 428-7895

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Leslie Proudfit, O.D.

Title

Owner

Phone

(574) 289-3937

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Jill N. Warfield-Ziegert, O.D.

  • Corneal and Contact Management Optometrist
  • Mishawaka, IN
  • NPI 1669507976
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1902944325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N IRONWOOD DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466152518",
            "telephone_number": "157-428-7088",
            "fax_number": "157-428-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NORTH IRONWOOD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466151623",
            "telephone_number": "157-428-7088",
            "fax_number": "157-428-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CARE OF SOUTH BEND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "PROUDFIT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "15742893937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001502B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEMARC",
            "identifier": "0205890001",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "251850A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Marie Falcone
• Maria Falcone, MD
• Family & Children's Center of Counseling and Development Services Inc
• Family Care Associates
• Family Dental Health Corporation
• Family Foundations, Inc
• Family Learning Center
• Family Medicine of South Bend PC
• Family Psychology of South Bend LLC (Family Psychology of South Bend)
• Family Solutions and Compassionate Care

• 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 Dec 21, 2007; 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.