Plymouth Eye Clinic, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002832 Issued in IN

Legal business name

PLYMOUTH EYE CLINIC, P.C.

Doing business as

Plymouth Family Eyecare

Practice address

2878 Miller Dr
Plymouth, IN 46563-8094

Phone

(574) 935-3937

Fax

(574) 936-4942

NPI assigned

Dec 5, 2006

Last updated

Sep 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelsey K Bell, O.D.NPI 1215249719

Title

Owner (Optometrist)

Phone

(574) 935-3937

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Plymouth Family Eyecare Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelsey K Bell, O.D.

  • Optometrist
  • Plymouth, IN
  • NPI 1215249719
  Authorized official Same address or phone
• Andrea J Yahraus, OD

  • Optometrist
  • Bryan, OH
  • NPI 1720584949
  NPD
• Matthew B Bartlett, O.D.

  • Optometrist
  • South Bend, IN
  • NPI 1568459444
  NPD (past)
• Darren L Minnich, O.D.

  • Optometrist
  • Nappanee, IN
  • NPI 1043292048
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1942368733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2878 MILLER DR",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465638094",
            "telephone_number": "574-935-3937",
            "fax_number": "574-936-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2878 MILLER DR",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465638094",
            "telephone_number": "574-935-3937",
            "fax_number": "574-936-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH EYE CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER (OPTOMETRIST)",
        "authorized_official_telephone_number": "574-935-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000385395",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200095640",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plymouth Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Plymouth Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian L Piazza, M.D.
• Aubree Pittman
• Louis D. Plumlee, D.D.S.
• Plymouth 20/20 Dental, LLC
• Plymouth Community School Corporation
• Plymouth Family Dental Care
• Plymouth Family Dentistry, Inc
• Plymouth Fire & EMS Department (Plymouth Community Ambulance Service)
• Plymouth NH, LLC (Plymouth Nursing and Rehab)
• Plymouth Towne Care Pharmacy Inc (People's Drug Store)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.