Family First Vision Care Indiana Llc | |
6502 Grape Rd, Mishawaka, IN 46545-1102 | |
(574) 227-7723 | |
(574) 227-7723 |
Full Name | Family First Vision Care Indiana Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 6502 Grape Rd, Mishawaka, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922525427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Matthew B Bartlett |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568459444 PECOS PAC ID: 6305759549 Enrollment ID: I20040607000696 |
Provider Name | Jill N Warfield-ziegert |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669507976 PECOS PAC ID: 4385693753 Enrollment ID: I20050113000128 |
Provider Name | Sheila Bogart |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902859812 PECOS PAC ID: 8527166305 Enrollment ID: I20070601000003 |
Provider Name | Alison Atchison |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285921296 PECOS PAC ID: 6002084233 Enrollment ID: I20110714000214 |
Provider Name | Tiffany Massela |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1033143631 PECOS PAC ID: 7810966686 Enrollment ID: I20120501000448 |
Provider Name | Tonya Kohler |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568755361 PECOS PAC ID: 8527353614 Enrollment ID: I20210317002138 |
Provider Name | Antonio Campbell |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912107905 PECOS PAC ID: 5698926012 Enrollment ID: I20230821003158 |
Provider Name | Bradley Habermehl |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356375463 PECOS PAC ID: 2365443314 Enrollment ID: I20231121000865 |
Provider Name | Kiersten Wytovak |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1386317006 PECOS PAC ID: 8628429628 Enrollment ID: I20240103003603 |
Provider Name | Michelle Fraser |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1023163185 PECOS PAC ID: 8527473040 Enrollment ID: I20240104004158 |
Provider Name | Venessa Stinvil |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285670588 PECOS PAC ID: 1456254259 Enrollment ID: I20240403000423 |
Provider Name | Alberta Dagobert |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1982197687 PECOS PAC ID: 8123427325 Enrollment ID: I20240422001382 |
Provider Name | Denis Holmes |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1114913589 PECOS PAC ID: 3173652856 Enrollment ID: I20240429002802 |
Provider Name | Deanna Ippolito |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1225683121 PECOS PAC ID: 8426388257 Enrollment ID: I20240507003502 |
Mailing Address | Practice Location Address |
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Family First Vision Care Indiana Llc 4680 Parkway Dr Ste 455, Mason, OH 45040-8199 Ph: (513) 445-9064 | Family First Vision Care Indiana Llc 6502 Grape Rd, Mishawaka, IN 46545-1102 Ph: (574) 227-7723 |
Stephanie Marie Baxter, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 230 E Day Rd, Ste 100, Mishawaka, IN 46545 Phone: 574-271-3939 Fax: 574-271-3941 | |
Jini Varughese John, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 574-272-9000 | |
Dr. Jonathan Edward Kintner, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 517 Lincoln Way E, Mishawaka, IN 46544 Phone: 574-255-3188 Fax: 574-255-4182 | |
Dr. Jayson Paul Ferd Burden, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 517 Lincolnway E, Mishawaka, IN 46544 Phone: 574-255-1231 | |
Dr. Jeffrey A. Coppes, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6502 Grape Road, Suite 898, Mishawaka, IN 46545 Phone: 574-277-7723 Fax: 574-277-9698 | |
Shannan Elizabeth Brown, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 230 E Day Rd Ste 100, Mishawaka, IN 46545 Phone: 574-271-3939 Fax: 574-271-3941 | |
Dr. Andrew R Anderson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 230 E Day Rd, 100, Mishawaka, IN 46545 Phone: 574-271-3939 Fax: 574-271-3941 |