DONALD TREASE O.D. NPI 1346287109

Optometrist in South Bend, IN

About DONALD TREASE

Donald Trease is a provider in South Bend, IN. The NPI number assigned to this provider is 1346287109. The practitioner's primary taxonomy code is Optometrist (152W00000X). The provider is registered as an individual and their NPI record was last updated 11 years ago.

NPI

1346287109

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name DONALD TREASE O.D.
Provider Location Address4123 S MICHIGAN ST SOUTH BEND, IN 46614 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address4123 S MICHIGAN ST SOUTH BEND, IN 46614 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date06-01-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code152W00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.18001840
License StateIN
Taxonomy DescriptionDoctors 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.

Business Address

DONALD TREASE O.D.
4123 S MICHIGAN ST
SOUTH BEND, IN
ZIP 46614
Phone: (574) 291-8900
Fax: (574) 299-8503

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Mailing Address

DONALD TREASE O.D.
4123 S MICHIGAN ST
SOUTH BEND, IN
ZIP 46614
Phone: (574) 291-8900
Fax: (574) 299-8503

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
164240DMEDICARE ID-TYPE UNSPECIFIED (04)IN
U09720MEDICARE UPIN (02)IN

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023069283CHRISTOPHER J. WOLF, OD, INC
Organization
Optometrist4123 S MICHIGAN ST
SOUTH BEND, IN 46614
(574) 291-8900
1154462711 JAMES F LONGENECKER O.D.
Individual
Optometrist4123 S MICHIGAN ST
SOUTH BEND, IN 46614
(574) 291-8900
1174564173DR. CHRISTOPHER JOHN WOLF O.D.
Individual
Optometrist4123 S MICHIGAN ST
SOUTH BEND, IN 46614
(574) 291-8900
1841215738NORTHERN INDIANA OPTOMETRISTS, PC
Organization
Optometrist4123 S MICHIGAN ST
SOUTH BEND, IN 46614
(574) 291-9200
1861420283DR. LISA CAMMETT O.D.
Individual
Optometrist4123 S MICHIGAN ST
SOUTH BEND, IN 46614
(574) 291-8900
1891736617DR. ANDREA BOWMAR O.D.
Individual
Optometrist4123 S MICHIGAN ST
SOUTH BEND, IN 46614
(574) 291-8900
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