GROSSNICKLE EYE CENTER, INC. (NPI# 1134259179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134259179 |
| Entity Type | Organization |
| Organization Name | GROSSNICKLE EYE CENTER, INC. |
| Other Organization Name | GROSSNICKLE EYE SURGERY CENTER |
| Practice Address |
2251 Dubois Dr Warsaw IN 46580-3212 |
| Practice Telephone | 5742692777 |
| Practice Fax Number | 5743714697 |
| Mailing Telephone | 5742692777 |
| Mailing Fax Number | 5743714697 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2009-10-20 |
| Authorized Official Name | DR. BRUCE P. GROSSNICKLE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5742692777 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
50001530A | IN | Ambulatory Health Care Facilities |
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
50001530A | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100274260A | 05 |
| Other Name | Type Code |
|---|---|
| Grossnickle Eye Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407882236 | Grossnickle Eye Center, Inc. | Durable Medical Equipment & Medical Supplies | 2251 Dubois Dr, Warsaw, IN 46580-3212 | 2006-06-23 |
| 1265436125 | Grossnickle Eye Center, Inc. | Ophthalmology | 2251 Dubois Dr, Warsaw, IN 46580-3212 | 2005-06-09 |
| Street Address |
2251 DUBOIS DR |
| City | WARSAW |
| State | IN |
| Zip Code | 46580-3212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061363 | David F Ryser | Ophthalmology | 2251 Dubois Dr, Warsaw, IN 46580-3212 | 2005-05-24 |
| 1346750130 | Circle Anesthesia LLC | Nurse Anesthetist, Certified Registered | 2251 Dubois Dr, Warsaw, IN 46580-3212 | 2017-10-05 |
| 1932533064 | K Snyder Anesthesia Service | Nurse Anesthetist, Certified Registered | 2251 Dubois Dr, Warsaw, IN 46580-3212 | 2013-08-26 |
| 1497070957 | Allison Anne Pernic | Ophthalmology | 2251 Dubois Dr, Warsaw, IN 46580-3212 | 2010-03-28 |
| 1104088731 | Matthew C Ralstin | Ophthalmology | 2251 Dubois Dr, Warsaw, IN 46580-3212 | 2008-06-25 |
| 1801902440 | Marilene O Beardslee | Nurse Anesthetist, Certified Registered | 2251 Dubois Dr, Warsaw, IN 46580-3212 | 2006-08-23 |
| 1285660902 | Ann U Madden | Optometrist | 2251 Dubois Dr, Warsaw, IN 46580-3212 | 2006-06-24 |
| 1407882236 | Grossnickle Eye Center, Inc. | Durable Medical Equipment & Medical Supplies | 2251 Dubois Dr, Warsaw, IN 46580-3212 | 2006-06-23 |
| 1912950015 | Irene Ponce | Nurse Anesthetist, Certified Registered | 2251 Dubois Dr, Warsaw, IN 46580-3212 | 2006-05-18 |
| 1679525927 | Kathleen Snyder | Nurse Anesthetist, Certified Registered | 2251 Dubois Dr, Warsaw, IN 46580-3212 | 2006-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346803772 | Amber Rae Parker | Physical Therapy Assistant | 2695 Shelden St., Warsaw, IN 46580 | 2019-04-22 |
| 1194255794 | Tyler Scott Kronk | Counselor | 105 Enterprise Drive, Warsaw, IN 46580 | 2017-06-15 |
| 1306244231 | Indiana Physical Therapy, Inc. | Clinic/Center | 3300 Lake City Hwy., Warsaw, IN 46580 | 2014-12-09 |
| 1922434687 | Yen Thi Vu | Pharmacist | 2400 East Center St, Warsaw, IN 46580 | 2013-09-25 |
| 1982956934 | Marsha Lynn Dreyer | Occupational Therapy Assistant | 300 E. Prairie Street, Warsaw, IN 46580 | 2012-10-15 |
| 1215286109 | Planned Parenthood of Indiana Warsaw | Clinic/Center | 630 S. Buffalo St., Suite 1, Warsaw, IN 46580 | 2012-09-06 |
| 1952636243 | Magdi Gabriel | Orthopaedic Surgery | 2087 Phaesant Ridge Drive, Warsaw, IN 46580 | 2009-10-05 |
| 1316132996 | Assisted Living Concepts Inc | Assisted Living Facility | 425 Chinworth Court, Warsaw, IN 46580 | 2007-09-07 |
| 1598986101 | Ericka Ester Haynes | Occupational Therapist | 900 Provident Drive, Warsaw, IN 46580 | 2007-05-01 |
| 1881819555 | Hartwiger Enterprises, Inc. | Home Health | 3510 Commerce Dr., Warsaw, IN 46580 | 2007-04-16 |
| Find all providers in zip 46580 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720507999 | Refractive Surgery Professionals LLC | Clinic/Center | 8500 Keystone Xing Ste 150, Indianapolis, IN 46240 | 2017-09-19 |
| 1972037901 | The Lasik Vision Insitute LLC | Clinic/Center | 1736 E Day Rd, Mishawaka, IN 46545-4300 | 2017-04-17 |
| 1891831251 | Lasikplus of Indiana P C | Clinic/Center | 8930 Keystone Crossing, Indianapolis, IN 46240 | 2007-01-30 |
| 1639286040 | Midwest Eye Consultants, P.C. | Clinic/Center | 2510 E. Dupont Rd., Suite 124, Fort Wayne, IN 46825 | 2006-08-23 |
| 1760916795 | The Cataract Vision Institute LLC | Clinic/Center | 1736 E Day Rd, Mishawaka, IN 46545-4300 | 2017-04-17 |
| 1215482856 | The Cataract Vision Institute LLC | Clinic/Center | 11595 N Meridian St, Suite 175, Carmel, IN 46032-6947 | 2016-08-24 |
| 1700049533 | Newburgh Eye Care, P.C. | Clinic/Center | 8688 Ruffian Ln, Suite B, Newburgh, IN 47630-3411 | 2008-07-02 |
| 1669643847 | Anesthesia Consultants Inc | Clinic/Center | 7232 Engle Rd, Fort Wayne, IN 46804-2222 | 2008-03-17 |
| 1073708483 | Clariti Inc. | Clinic/Center | 481 S Landmark Ave, Bloomington, IN 47403-5005 | 2007-09-10 |
| 1750417309 | Jonathan S. Mcglothan | Clinic/Center | 3498 S 4th St, Terre Haute, IN 47802-4168 | 2007-02-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GROSSNICKLE EYE CENTER, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.