Indiana Vision Group, LLC is a Optometrist (organization) practicing in Portland, Indiana. The National Provider Identifier (NPI) is #1063349561, which was assigned on May 7, 2026, and the registration record was last updated on May 7, 2026. The practitioner's main practice location is at 1111 N Meridian St, Portland, IN 47371-1024; the contact telephone number is 2607264210, and the fax number is 2607269347. The primary taxonomy of Indiana Vision Group, LLC is Optometrist (152W00000X). The authorized official for Indiana Vision Group, LLC is Abby Small (Member).
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.
| NPI | 1063349561 |
| Entity Type | Organization |
| Organization Name | INDIANA VISION GROUP, LLC |
| Provider Name | INDIANA VISION GROUP, LLC |
| Practice Address |
1111 N Meridian St Portland IN 47371-1024 |
| Practice Telephone | 2607264210 |
| Practice Fax Number | 2607269347 |
| Mailing Address |
Po Box 1268 Portland IN 47371-3268 |
| Mailing Telephone | 2607264210 |
| Mailing Fax Number | 2607269347 |
| Certification Date | 2026-05-07 |
| Enumeration Date | 2026-05-07 |
| Last Update Date | 2026-05-07 |
| Is Organization Subpart | Y |
| Parent Organization Legal Business Name | INDIANA VISION GROUP, LLC |
| Official Name | ABBY SMALL |
| Official Title | MEMBER |
| Credential | OD |
| Telephone | 2607264210 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 193400000X SINGLE SPECIALTY GROUP |
| Other Organization Name | Type |
|---|---|
| Elite Eye Care | Doing Business As Name |
| Code | 152W00000X |
| Taxonomy | Optometrist |
| Classification | Optometrist |
| Grouping | Eye and Vision Services Providers |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA's Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Alyssa Clemente | 385 Tremont Ave, East Orange, NJ 07018-1023 | Optometrist | 2026-06-05 |
| Catrina Lam | 4150 Clement St, San Francisco, CA 94121-1563 | Optometrist | 2026-06-05 |
| Joshua Major | 4900 S Arlington Ave, Indianapolis, IN 46237-3507 | Optometrist | 2026-06-05 |
| Tristan Voelker | 202 S Main St, Elkader, IA 52043-9078 | Optometrist | 2026-06-05 |
| Macwan Eye Group LLC | 4880 Lower Roswell Rd Ste 2040, Marietta, GA 30068-4375 | Optometrist | 2026-06-05 |
| Caresouth Carolina Inc | 1268 S 4th St, Hartsville, SC 29550-0703 | Optometrist | 2026-06-05 |
| Megan Radaz | 4575 Canal Ave Sw, Grandville, MI 49418-2378 | Optometrist | 2026-06-06 |
| Antonia Vassios · Antonia Stavrakis | 1623 Mountain Ash Way, New Port Richey, FL 34655-4145 | Optometrist | 2026-06-05 |
| Eye Center Boutique - Rio Hondo Mall | 60 Ave Rio Hondo Suite B071, Rio Hondo Mall, Bayamon, PR 00961-3106 | Optometrist | 2026-06-04 |
| Grace Scheresky | 1821 Burdick Expy W, Minot, ND 58701-5667 | Optometrist | 2026-06-04 |
| Find all providers with the same taxonomy | |||
| Street Address |
1111 N MERIDIAN ST |
| City | PORTLAND |
| State | IN |
| Zip Code | 47371-1024 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| The Eye Center Group LLC | 1111 N Meridian St, Portland, IN 47371-1024 | Durable Medical Equipment & Medical Supplies | 2006-08-07 |
| David A Fullenkamp | 1111 N Meridian St, Portland, IN 47371-1024 | Optometrist | 2005-12-27 |
| Abby Elizabeth Small · Abby Elizabeth Broering | 1111 N Meridian St, Portland, IN 47371-1024 | Optometrist | 2020-06-05 |
| David A. Fullenkamp, O.D., P.C. | 1111 N Meridian St, Portland, IN 47371-1024 | Eyewear Supplier | 2009-07-14 |
| David A. Fullenkamp,Od, PC | 1111 N Meridian St, Portland, IN 47371-1024 | Eyewear Supplier | 2010-05-06 |
| Eye Center Group, LLC | 1111 N Meridian St, Portland, IN 47371-1024 | Ophthalmology Physician | 2005-11-01 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Susan Hathaway | 3783 West 800 South, Portland, IN 47371 | Attendant Care Provider | 2019-09-18 |
| Alice Odelia Bruggeman | 428 West Votaw Street, Suite A, Portland, IN 47371-0710 | Family Nurse Practitioner | 2006-09-06 |
| James P Clear | 603 N Meridian St, Portland, IN 47371 | Chiropractor | 2006-02-08 |
| Jay County Government | 902 N Creagor Ave, Portland, IN 47371 | Ambulance | 2005-08-04 |
| Jenni Clear | 603 N Meridian St, Portland, IN 47371 | Chiropractor | 2006-02-07 |
| Camille Anne Elick-Shawver | 428 West Votaw Street, Suite A, Portland, IN 47371-0710 | Family Nurse Practitioner | 2006-09-29 |
| Meridian Health Services Corp. | 2072 In-67, Portland, IN 47371 | Federally Qualified Health Center (FQHC) | 2023-11-30 |
| Midwest Healthstrategies, Inc | 1745 W 100 S, Portland, IN 47371 | Physical Therapist | 2006-07-18 |
| Anne Hardesty | 500 W Votaw St, Portland, IN 47371 | Family Nurse Practitioner | 2016-08-16 |
| Mark Allen Haggenjos | 428 West Votaw Street, Suite A, Portland, IN 47371-0710 | Emergency Medicine Physician | 2006-05-02 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| National Vision, Inc. | 61 Spaatz Dr, Langley Afb, VA 23665-2027 | Optometrist | 2026-02-25 |
| National Vision, Inc. | 220 Mall Ln, Building 950, Tyndall A F B, FL 32403-5522 | Eyewear Supplier | 2006-05-27 |
| Nxt Vision LLC | 825 S Willow Ave, Fresno, CA 93727-3589 | Assisted Living Facility | 2026-06-01 |
| Ae Vision LLC | 34-36 Progress St Ste B4, Edison, NJ 08820-1197 | Optometrist | 2026-04-09 |
| Svs Vision Inc | 25102 Brookpark Rd Ste 126, North Olmsted, OH 44070-6413 | Eyewear Supplier | 2026-03-23 |
| National Vision, Inc. | 890 S James Campbell Blvd, Suite 104, Columbia, TN 38401 | Optometrist | 2026-04-01 |
| Vision and Mission | 8455 N Wickham Rd, Melbourne, FL 32940-6607 | Optometrist | 2026-04-29 |
| Low Vision Services LLC | 1077 Spanish Moss Ln, Breaux Bridge, LA 70517-6711 | Low Vision Occupational Therapy Assistant | 2026-05-01 |
| Tea Vision Inc | 5 Putnam Villiage, Teays, WV 25569 | Optician | 2006-11-09 |
| National Vision, Inc. | 1940 Tamiami Trl Ste 103, Port Charlotte, FL 33948-2105 | Optometrist | 2026-05-07 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |