ABOITE FAMILY EYECARE CENTER (NPI# 1932502507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932502507 |
| Entity Type | Organization |
| Organization Name | ABOITE FAMILY EYECARE CENTER |
| Practice Address |
7625 W Jefferson Blvd Fort Wayne IN 46804-4133 |
| Practice Telephone | 2604321231 |
| Practice Fax Number | 2609691568 |
| Mailing Telephone | 2604321231 |
| Mailing Fax Number | 2609691568 |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |
| Authorized Official Name | THOMAS ROBERT ZACHMAN (OWNER) |
| Authorized Official Telephone | 2604321231 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | ========= | IN | Managed Care Organizations |
| Street Address |
7625 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720013956 | Thomas Robert Zachman | Optometrist | 7625 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2006-07-12 |
| 1568813046 | Kathryn Zachman | Optometrist | 7625 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2016-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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|---|---|---|---|---|
| 1902343346 | Count On Me Senior Care | Preferred Provider Organization | 359 Creekbend Ln, Indianapolis, IN 46217-2720 | 2017-01-24 |
| 1518313642 | David C. Wood, D.d.s., LLC | Preferred Provider Organization | 266 Medical Dr, Carmel, IN 46032-2944 | 2016-05-07 |
| 1679965263 | Life Solutions South of Indiana | Preferred Provider Organization | 120 E Market St, Indianapolis, IN 46204-3250 | 2015-02-19 |
| 1326318486 | Mercho Medical Service Inc | Preferred Provider Organization | 1311 N. Arlington Avenue, Suite 108, Indianapolis, IN 46219-3260 | 2012-01-06 |
| 1457649857 | Divine Chiropractic LLC | Preferred Provider Organization | 404 North John F Kennedy Avenue, Loogootee, IN 47553 | 2011-07-19 |
| 1225262702 | Essential Development Corporation | Preferred Provider Organization | 1426 W 29th St Ste 209, Indianapolis, IN 46208-4993 | 2009-05-12 |
| 1265666382 | Monon Volunteer Fire Dept Inc | Preferred Provider Organization | 103 E Third St, Monon, IN 47959 | 2009-05-04 |
| 1609018522 | Synapse Neutomonitoring Inc | Preferred Provider Organization | 1365 N Manchester Dr, Greenfield, IN 46140-7764 | 2009-03-25 |
| 1891907903 | Journeys Counseling Center, LLC | Preferred Provider Organization | 10182 Ranford Blvd, Fortville, IN 46040-1474 | 2007-05-03 |
| 1285846360 | Midwest Residential Services, Inc. | Preferred Provider Organization | 2425 N. Meridian Street, Suite B, Indianapolis, IN 46208 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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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.