GROSSNICKLE EYE CENTER, INC. (NPI# 1407882236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407882236 |
Entity Type | Organization |
Organization Name | GROSSNICKLE EYE CENTER, INC. |
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 | 2006-06-23 |
Last Update Date | 2007-10-11 |
Authorized Official Name | MS. PATRICIA K CHANDLER (ADMINISTRATIVE ASSISTANT) |
Authorized Official Telephone | 5742692777 |
Authorized Official Credential | CMA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0191420001 | IN | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134259179 | Grossnickle Eye Center, Inc. | Clinic/Center | 2251 Dubois Dr, Warsaw, IN 46580-3212 | 2007-03-07 |
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 |
1134259179 | Grossnickle Eye Center, Inc. | Clinic/Center | 2251 Dubois Dr, Warsaw, IN 46580-3212 | 2007-03-07 |
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 |
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 |
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NPI | Name | Taxonomy | Address | Enumeration |
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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 |
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Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
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1689899585 | Roberta Edmundson Rose Md Inc | Durable Medical Equipment & Medical Supplies | 800 E Center St, Warsaw, IN 46580-3325 | 2007-04-16 |
1053454728 | Sedalia Eye Associates, P. C. | Durable Medical Equipment & Medical Supplies | 1330 Comercial St, Suite 202, Warsaw, MO 65355-1599 | 2007-02-14 |
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1235248543 | Rite Aid of Virginia Inc | Durable Medical Equipment & Medical Supplies | 4671 Richmond Road, Warsaw, VA 22572-1298 | 2006-08-30 |
1134146467 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 103 W Polk St, Warsaw, MO 65355-3297 | 2006-07-16 |
1881611010 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2348 Route 19 N, Warsaw, NY 14569-9356 | 2006-07-16 |
1114944428 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2501 Walton Blvd, Warsaw, IN 46582-6500 | 2006-07-16 |
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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.