MORGAN DEWIT OD NPI 1467802397

Optometrist in South Bend, IN

About MORGAN DEWIT

Morgan Dewit is a provider in South Bend, IN with more than 3 years of experience. The NPI number assigned to this provider is 1467802397. The practitioner's primary taxonomy code is Optometrist (152W00000X). The provider is registered as an individual and their NPI record was last updated 0 years ago. Morgan Dewit is registered with Medicare and accepts claims assignment.

NPI

1467802397

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 MORGAN DEWIT OD
Provider Location Address17615 STATE ROAD 23 SOUTH BEND, IN 46635 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 Address835 N. CASS ST. WABASH, IN 46992 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.
GenderFemale
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).
Medical School NameFERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Graduation Year2016
Is Sole Proprietor?No
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 Date06-22-2016 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-15-2018 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.18003978
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

MORGAN DEWIT OD
17615 STATE ROAD 23
SOUTH BEND, IN
ZIP 46635
Phone: (574) 234-7600
Fax: (574) 234-8408

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Mailing Address

MORGAN DEWIT OD
835 N. CASS ST.
WABASH, IN
ZIP 46992
Phone: (260) 569-9550
Fax: (260) 569-0760

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
201367550MEDICAID (05)IN

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316935208DR. MICHAEL JOHN ROTHEKER O.D.
Individual
Optometrist17615 STATE ROAD 23
SOUTH BEND, IN 46635
(574) 234-7600
1558592170MIDWEST EYE CONSULTANTS P.C.
Organization
Optometrist17615 STATE ROAD 23
SOUTH BEND, IN 46635
(574) 234-7600
1912098229PROFESSIONAL VISION INC
Organization
Optometrist17615 STATE ROAD 23
SOUTH BEND, IN 46635
(574) 234-7600
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