Active NPI
Joshua S Conner, O.D.
- Optometrist
- Mishawaka, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003496A
- Practice address
- 230 E Day Rd Ste 100
Mishawaka, IN 46545-3408 - Phone
- (574) 271-3939
- Fax
- (574) 271-3941
- NPI assigned
- Aug 19, 2006
- Last updated
- Mar 21, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618001633 | VA | |
| Optometrist | 152W00000X | 18003496A | IN | Primary |
| Optometrist | 152W00000X | 1679DT | KY |
Addresses
Primary practice location
230 E Day Rd Ste 100
Mishawaka, IN 46545-3408
Mailing address
230 E Day Rd Ste 100
Mishawaka, IN 46545-3408
Phone (574) 271-3939
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18003496A | Other | IN | LICENSE |
| P00653119 | Other | IN | RR MEDICARE |
| 200888800 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3540 Prairieview St
Suite 100
Grand Island, NE 68803-4409
Phone (308) 384-6922
3610 W Norfolk Ave
Norfolk, NE 68701-7702
Phone (402) 371-8230
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.28 of 100
- Quality
- 98.56
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18003496A | IN | MD | Optometrist |
| 1679DT | KY | MD | Optometrist |
| 0618001633 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Eye Centers Inc | Optometrist | Current | Accepting new patients |
| Unity Eye Centers Inc | Optometrist | Current | Accepting new patients |
| Unity Eye Centers Inc | Optometrist | Current | Accepting new patients |
| Family Eyecare Center,PC | Optometrist | Past | Accepting new patients |
Locations
3540 Prairieview St
#100
Grand Island, NE 68803
Phone (308) 384-6922
401 N Eddy St
Grand Island, NE 68801
Phone (308) 384-6922
3610 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 371-8230
624 Howard Ave
Saint Paul, NE 68873
Phone (308) 754-5609
Organizations & group practices 4
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.
-
dba Unity Eye Centers Grand Island
- Optometrist
- Grand Island, NE
- NPI 1982254207
-
- Optometrist
- Saint Paul, NE
- NPI 1023190170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1952415689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 E DAY RD STE 100",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465453408",
"telephone_number": "574-271-3939",
"fax_number": "574-271-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E DAY RD STE 100",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465453408",
"telephone_number": "574-271-3939",
"fax_number": "574-271-3941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNER",
"first_name": "JOSHUA",
"middle_name": "S",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001633",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003496A",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1679DT",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "18003496A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00653119",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200888800",
"state": "IN"
}
],
"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 Mar 21, 2013; 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.