Individual provider Active NPI

Joshua S Conner, O.D.

  • Optometrist
  • Mishawaka, IN
National Provider Identifier
1952415689
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003496A Issued in IN
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
18003496AOtherINLICENSE
P00653119OtherINRR MEDICARE
200888800MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161107002553 NE Practitioner - Optometry 9638254667 Reassigns benefits to 1 organization

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
Unity Eye Centers IncGroup PAC ID 0648602284, 19 clinicians

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 100Reported as group
Quality
98.56
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003496AINMDOptometrist
1679DTKYMDOptometrist
0618001633VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Eye Centers Inc Optometrist Current Accepting new patients
Unity Eye Centers Inc Optometrist CurrentSince Aug 18, 2019 Accepting new patients
Unity Eye Centers Inc Optometrist CurrentSince Jan 1, 2020 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.

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

Verify at the official NPI Registry.