Organization
INDIANA VISION CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD MILOVICH OD (OWNER/OPTOMETRIST)
(574) 288-2400
Entity
Organization
Contact information
Practice address
2004 EDISON RD, SUITE A, SOUTH BEND, IN 46617-1712
(574) 288-2400
(574) 288-7132
Mailing address
2004 EDISON RD, SUITE A, SOUTH BEND, IN 46617-1712
(574) 288-2400
(574) 288-7132
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001593B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000273027
BLUE CROSS BLUE SHIELD
IN
01
—
01171
SPECTERA
IN
05
—
200380990
—
IN
Enumeration date
06/11/2006
Last updated
10/21/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us