Eyecare Associates of Michiana, LLC
Organization Active NPI Optometrist · New Carlisle, IN
NPI 1992737324 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992737324
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 18002128 (IN)
- Legal business name
- EYECARE ASSOCIATES OF MICHIANA, LLC
- Practice address
- 8984 E US Highway 20
New Carlisle, IN 46552-9038 - Phone
- (574) 654-8806
- Fax
- (574) 654-7257
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Tom L Morton, OD
- Title
- Partner/OD
- Phone
- (574) 654-8806
Other NPIs on the same Medicare enrollment 1
Practitioners 5
-
Tom L Morton, O.D.
-
John J Offerle, O.D.
-
Kristina Offerle, O.D.
-
Linnea M Robbins-Winters, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060627000392 | IN | Part B Supplier - Clinic/Group Practice | 8123030624 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New Carlisle, IN; South Bend, IN |
National Provider Directory
Locations
17477 Generations Dr
South Bend, IN 46635
Phone (574) 287-0890
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 18001874 | IN | |
| Optometrist |
152W00000X | 18002590 | IN | |
| Optometrist |
152W00000X | 18002128 | IN | Yes |
Addresses
Primary practice location
8984 E US Highway 20
New Carlisle, IN 46552-9038
Mailing address
8984 E US Highway 20
New Carlisle, IN 46552-9038
Phone (574) 654-8806
Other providers in New Carlisle, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.