MEDICARE: COMMUNITY EYE CARE OF INDIANA, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	18003340A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DC5434	OTHER	IN	MEDICARE ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316016207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY EYE CARE OF INDIANA, INC

Provider Business Mailing Address
First Line	:	1400 N RITTER AVE
Second Line	:	STE 281
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-3052
Country	:	US
Telephone Number	:	317-357-8663
Fax Number	:	317-357-5383

Provider Business Practice Location Address
First Line	:	7250 CLEARVISTA DR
Second Line	:	STE 180
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-4692
Country	:	US
Telephone Number	:	317-594-9410
Fax Number	:	317-357-5383

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN LATONA
Credential	:	M.D.
Telephone Number	:	317-594-9410

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	01/12/2010

Similar Medicare Providers

1912443623 — SHELBY WOOD
Practice Location Address:

7250 CLEARVISTA DR , STE 355
INDIANAPOLIS, IN
46256-4692

Practice Phone: 317-621-5676
Practice Fax:

1215932819 — DR. BASHAR KARAKASH M.D.
Practice Location Address:

7250 CLEARVISTA DR , SUITE 120
INDIANAPOLIS, IN
46256-4692

Practice Phone: 317-621-5676
Practice Fax: 317-621-5678

1194722843 — KEVIN J PUZIO MD
Practice Location Address:

7250 CLEARVISTA DR , SUITE 225
INDIANAPOLIS, IN
46256-4692

Practice Phone: 317-537-6088
Practice Fax: 317-537-6092

1407845928 — RICHARD L KAUTZMAN OD
Practice Location Address:

7250 CLEARVISTA DR , SUITE180
INDIANAPOLIS, IN
46256-4692

Practice Phone: 317-356-1500
Practice Fax: 317-357-5383

1376570507 — LORI R VASQUEZ PA-C
Practice Location Address:

7250 CLEARVISTA DR , SUITE 100
INDIANAPOLIS, IN
46256-4692

Practice Phone: 317-621-5673
Practice Fax: 317-621-6040

1740385525 — REBECCA H KELLY MD
Practice Location Address:

7250 CLEARVISTA DR , SUITE 327A
INDIANAPOLIS, IN
46256-4692

Practice Phone: 317-621-7390
Practice Fax: 317-621-4494

Directions to “COMMUNITY EYE CARE OF INDIANA, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.