DRS. ROUSH & WILL OPTOMETRISTS INC
NPI 1578613295
Optometrist in Kendallville, IN

Active since January 12, 2007
781 E. NORTH ST, KENDALLVILLE, IN 46755(260) 347-3611(260) 347-4425 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Drs. Roush & Will Optometrists Inc NPPES

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

DRS. ROUSH & WILL OPTOMETRISTS INC (NPI 1578613295) is a healthcare organization registered as an optometrist in Kendallville, Indiana and active in the NPI registry since January 2007. The organization lists R Alan Roush, President, as its authorized official.

NPPES Registry Identity

NPI1578613295
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDRS. ROUSH & WILL OPTOMETRISTS INC
Location Address781 E. NORTH STKendallville, IN 46755-1225
Mailing Address781 E. North StKendallville, IN 46755-1225 · (260) 347-3611 · Fax (260) 347-4425
Fax(260) 347-4425
Organization SubpartNo
Authorized OfficialR Alan RoushPresident · (260) 347-3611
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJuly 22, 2016
✔ NPI 1578613295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedEyewear SupplierTaxonomy 332H00000X · License 0921390001 (IN)
781 E. NORTH ST, Kendallville, IN 46755

Other Identifiers 5

Medicaid100355140BIN
Medicaid100355140AIN
Medicaid100355140CIN
Medicare NSC0921390001IN
Medicare ID-Type Unspecified967880IN · Group Number

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Drs. Roush & Will Optometrists Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20040908001624Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Drs. Roush & Will Optometrists Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Optometry
NPI 1003811860
781 E NORTH STREET
Kendallville, IN 46755
(260) 347-3458
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1720392020
781 E NORTH ST
Kendallville, IN 46755
(260) 347-3458
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1336451640
781 E NORTH ST
Kendallville, IN 46755
(260) 347-3458
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1710982475
781 E NORTH STREET
Kendallville, IN 46755
(260) 347-3458
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1578525341
1240 MEDICAL PARK DR
Fort Wayne, IN 46825
(260) 471-2375
✔ PECOS✔ Accepts Medicare24 mi

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

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Drs Roush & Will Optometrists Inc carries, from the Medicare DMEPOS supplier directory.

Drs Roush & Will Optometrists Inc

DMEPOS supplier · Kendallville, IN
✔

Accepts Medicare assignment

Drs Roush & Will Optometrists Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20668937
Medicare Participant SinceJanuary 1, 1995
Supplier Location781 E North StKendallville, IN 46755
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Drs. Roush & Will Optometrists Inc's NPI number?

The NPI number for Drs. Roush & Will Optometrists Inc is 1578613295. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is Drs. Roush & Will Optometrists Inc located?

Drs. Roush & Will Optometrists Inc is located at 781 E. North St, Kendallville, IN 46755. The listed phone number is (260) 347-3611.

What is Drs. Roush & Will Optometrists Inc's specialty?

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

Is Drs. Roush & Will Optometrists Inc enrolled in Medicare?

Yes. Drs. Roush & Will Optometrists Inc is registered in the Medicare PECOS enrollment system.

When is Drs. Roush & Will Optometrists Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Drs. Roush & Will Optometrists Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Drs. Roush & Will Optometrists Inc. 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, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Drs. Roush & Will Optometrists Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Drs Roush & Will Optometrists Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Drs. Roush & Will Optometrists Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Drs. Roush & Will Optometrists Inc 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 Drs. Roush & Will Optometrists Inc was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.