Drs. Roush & Will Optometrists Inc
LBN: Drs. Roush & Will Optometrists Inc
Drs. Roush & Will Optometrists Inc is an health care organization with primary practice located at 781 E. North St , Kendallville IN 46755-1225. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Drs. Roush & Will Optometrists Inc can be contacted via phone (260) 347-3611, or through Roush, R Alan via phone (260) 347-3611.
Contact Information
Primary practice address
781 E. North St
Kendallville IN 46755-1225
Phone: (260) 347-3611
Fax: (260) 347-4425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 0921390001 | Indiana |
Profile Details
| NPI number | 1578613295 |
|---|---|
| LBN Legal business name | Drs. Roush & Will Optometrists Inc |
| DBA Doing business as | |
| Authorized official | Roush, R Alan Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jul 22nd, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578613295 | NPPES |
| Indiana | MEDICAID | 100355140B | |
| Indiana | MEDICAID | 100355140C | |
| Indiana | MEDICAID | 100355140A |
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