Organization
FAMILY EYE CARE OF SOUTH BEND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LESLIE PROUDFIT O.D. (OWNER)
15742893937
Entity
Organization
Contact information
Practice address
220 NORTH IRONWOOD, SOUTH BEND, IN 46615-1623
(157) 428-7088
(157) 428-7895
Mailing address
220 N IRONWOOD DR, SOUTH BEND, IN 46615-2518
(157) 428-7088
(157) 428-0735
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001502B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0205890001
DEMARC
IN
01
—
251850A
MEDICARE ID
IN
Enumeration date
02/01/2007
Last updated
12/21/2007
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