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EYE ASSOCIATES GROUP, LLC
NPI 1144462235
Optometrist - Low Vision Rehabilitation in Fort Wayne, IN

Active since April 03, 2009CLIA 15D1091608 · Waiver
6208 CONSTITUTION DR STE B, FORT WAYNE, IN 46804(260) 432-0575(260) 432-0835 Get Directions Write a Review

NPPES record last updated: April 3, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eye Associates Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYE ASSOCIATES GROUP, LLC (NPI 1144462235) is a healthcare organization registered as a low vision rehabilitation in Fort Wayne, Indiana and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists Shelley Teagle, Accounts Manager, as its authorized official.

NPPES Registry Identity

NPI1144462235
Entity TypeOrganization
Primary Taxonomy152WL0500X
Legal Business NameEYE ASSOCIATES GROUP, LLC
Location Address6208 CONSTITUTION DR STE BFort Wayne, IN 46804-1585
Mailing Address6208 Constitution Dr Ste BFort Wayne, IN 46804-1585 · (260) 432-0575 · Fax (260) 432-0835
Phone(260) 432-0575
Fax(260) 432-0835
Organization SubpartNo
Authorized OfficialShelley TeagleAccounts Manager · (765) 348-2020
Enumeration DateApril 3, 2009
✔ NPI 1144462235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Low Vision RehabilitationEye and Vision Services Providers
Taxonomy Code152WL0500X
Definition
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.
6208 CONSTITUTION DR STE B, Fort Wayne, IN 46804
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Other Identifiers 3

Medicaid200005400IN
Medicare PIN668170IN
Medicare NSC1046420005IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D1091608

Eye Associates Group LLC · Hartford City, IN
Active · expires Nov 4, 2026
CLIA Number15D1091608
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorRichard L. Windsor
Laboratory Phone(765) 348-2020
Laboratory LocationEye Associates Group LLC315 Huggins Dr, Hartford City, IN 47348
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eye Associates Group, LLC's NPI number?

The NPI number for Eye Associates Group, LLC is 1144462235. It was assigned to this organization in the NPPES registry on April 3, 2009.

Where is Eye Associates Group, LLC located?

Eye Associates Group, LLC is located at 6208 Constitution Dr Ste B, Fort Wayne, IN 46804. The listed phone number is (260) 432-0575.

What is Eye Associates Group, LLC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Low Vision Rehabilitation, with taxonomy code 152WL0500X.

Does Eye Associates Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1091608) is associated with this NPI, valid through November 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eye Associates Group, LLC was last updated on April 3, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.