NORTHEAST FAMILY EYECARE, LLC
NPI 1275103731
Optometrist in Fort Wayne, IN

Q: What is Northeast Family Eyecare, LLC's NPI number?

The NPI number for Northeast Family Eyecare, LLC is 1275103731. It was assigned to this organization in the NPPES registry on June 28, 2021.

Q: What is Northeast Family Eyecare, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since June 28, 2021

2821 E STATE BLVD, FORT WAYNE, IN 46805(260) 482-9514(260) 203-5391 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Northeast Family Eyecare, Llc NPPES

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

NORTHEAST FAMILY EYECARE, LLC (NPI 1275103731) is a healthcare organization registered as an optometrist in Fort Wayne, Indiana and active in the NPI registry since June 2021. The organization lists Kathryn Zachman, Owner, as its authorized official.

NPPES Registry Identity

NPI1275103731

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameNORTHEAST FAMILY EYECARE, LLC

Location Address2821 E STATE BLVDFort Wayne, IN 46805-4732

Mailing Address2821 E State BlvdFort Wayne, IN 46805-4732 · (260) 482-9514 · Fax (260) 203-5391

Phone(260) 482-9514

Fax(260) 203-5391

Organization SubpartNo

Authorized OfficialKathryn ZachmanOwner · (260) 482-9514

Enumeration DateJune 28, 2021

Last NPPES UpdateJune 30, 2021

NPPES CertifiedJune 30, 2021

✔ NPI 1275103731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

2821 E STATE BLVD, Fort Wayne, IN 46805

Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Family Eyecare, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Northeast Family Eyecare, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kathryn Zachman-Pavell, O.D.

Optometry

NPI 1568813046

7625 W JEFFERSON BLVD
Fort Wayne, IN 46804

(260) 432-1231

✔ PECOS✔ Accepts Medicare8.2 mi

Michael Pavell, O.D.

Optometry

NPI 1518410745

5406 W 38TH ST
Indianapolis, IN 46254

(219) 242-2423

✔ PECOS✔ Accepts Medicare107 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Northeast Family Eyecare, LLC's NPI number?

The NPI number for Northeast Family Eyecare, LLC is 1275103731. It was assigned to this organization in the NPPES registry on June 28, 2021.

Where is Northeast Family Eyecare, LLC located?

Northeast Family Eyecare, LLC is located at 2821 E State Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 482-9514.

What is Northeast Family Eyecare, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Northeast Family Eyecare, LLC enrolled in Medicare?

Yes. Northeast Family Eyecare, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Family Eyecare, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Northeast Family Eyecare, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northeast Family Eyecare, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Northeast Family Eyecare, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northeast Family Eyecare, LLC was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.