FORT WAYNE FAMILY EYECARE PC (NPI# 1730112228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730112228 |
| Entity Type | Organization |
| Organization Name | FORT WAYNE FAMILY EYECARE PC |
| Practice Address |
9426 Lima Rd Suite C Fort Wayne IN 46818-8934 |
| Practice Telephone | 2604895544 |
| Mailing Telephone | 2604895544 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2014-03-24 |
| Authorized Official Name | DR. MARK A INGLE (PRESIDENT) |
| Authorized Official Telephone | 2607442273 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM NONPAR | 000000234540 | 01 |
| IN | 100277170B | 05 |
| Street Address |
9426 LIMA RD SUITE C |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46818-8934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741808 | Maureen Trentadue | Developmental Therapist | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2019-10-12 |
| 1336790187 | Ashley Finucan | Developmental Therapist | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2019-09-24 |
| 1093364192 | Emma Redner | Developmental Therapist | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2019-09-11 |
| 1285283424 | Corinna Johnson | Occupational Therapist | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2019-09-10 |
| 1821645946 | Melissa Salway | Occupational Therapy Assistant | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2019-08-22 |
| 1720635071 | Deborah Morgan | Speech-Language Pathologist | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2019-08-21 |
| 1215583281 | Tanda S Brownlee | Developmental Therapist | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2019-08-14 |
| 1912551524 | Hand In Hand Therapy | Early Intervention Provider Agency | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2019-07-31 |
| 1114570710 | Chantelle Sessa-norwood | Developmental Therapist | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2019-07-23 |
| 1831742436 | Nicole Coppins | Occupational Therapy Assistant | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2019-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710464938 | Heather Smith | Day Training/Habilitation Specialist | 9434 Lima Road, Suite C, Fort Wayne, IN 46818 | 2018-07-20 |
| 1184146748 | Danielle Macias | Speech-Language Pathologist | 4935 Hillegas Road, Suite 200, Fort Wayne, IN 46818 | 2017-07-14 |
| 1801326533 | Kimberly M Kindt | Optometrist | 9426 Lima Rd Ste C, Fort Wayne, IN 46818 | 2017-06-15 |
| 1578983359 | Sarah Buzzard | Occupational Therapy Assistant | 9426 Lima Road, A, Fort Wayne, IN 46818 | 2014-04-21 |
| 1306196704 | Peter Yang Gaw Go | Occupational Therapist | 3406 Bluefield Place, Fort Wayne, IN 46818 | 2012-09-12 |
| 1043593536 | Carol Lynn Steinbach | Massage Therapist | 12101 Hand Rd., Fort Wayne, IN 46818 | 2011-09-21 |
| 1295058071 | Summit Nutrition Services, LLC | Dietitian, Registered | 3027 Mariposa Place, Fort Wayne, IN 46818 | 2010-03-08 |
| 1184871899 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 9104 Strathmore Lane, Fort Wayne, IN 46818 | 2008-08-25 |
| 1285851121 | Angela Coleman | Dentist | 10505 Lima Road, Fort Wayne, IN 46818 | 2007-04-20 |
| 1942335534 | Angela S King | Dentist | 9019 Lima Road, Fort Wayne, IN 46818 | 2007-02-22 |
| Find all providers in zip 46818 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164046967 | Dr Bennett LLC | Optometrist | 1850 E Dupont Rd, Fort Wayne, IN 46825-1581 | 2020-06-08 |
| 1043737737 | Eyecare Express | Optometrist | 4826 Illinois Rd, Fort Wayne, IN 46804-1166 | 2017-08-24 |
| 1760906135 | Brittany Hoolsema | Optometrist | 2121 Lake Ave # 112b, Fort Wayne, IN 46805-5100 | 2017-07-27 |
| 1801326533 | Kimberly M Kindt | Optometrist | 9426 Lima Rd Ste C, Fort Wayne, IN 46818 | 2017-06-15 |
| 1083003008 | Midwest Eye Consultants, P.C. | Optometrist | 1601 E Paulding Rd, Fort Wayne, IN 46816-1204 | 2015-01-14 |
| 1437494143 | Fort Wayne Vision Associates Ltd | Optometrist | 515 E Coliseum Blvd, Fort Wayne, IN 46805-1215 | 2012-12-06 |
| 1033453220 | Daniel & Max | Optometrist | 409 E Coliseum Blvd, Fort Wayne, IN 46805-1004 | 2012-11-12 |
| 1205114006 | Ryan Feichtner | Optometrist | 700 E Coliseum Blvd, Fort Wayne, IN 46805-1220 | 2011-07-27 |
| 1760786503 | C J Pataluch Od PC | Optometrist | 5659 Coventry Ln, Fort Wayne, IN 46804-7145 | 2011-01-10 |
| 1841436532 | James H Pennington Od | Optometrist | 6421 Georgetown North Blvd, Fort Wayne, IN 46815-7007 | 2008-12-30 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46818 |
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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.