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Indiana Vision Development Center PC

Indiana Vision Development Center PC is a healthcare organization registered as Optometrist in Fort Wayne, IN, holding Type 2 (organization) NPI 1821059320 since 2006. The authorized official on file is Carl Myers, President.

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NPI 1821059320
Entity type Organization (Type 2)
Legal business name Indiana Vision Development Center PC
Practice address 10343 DAWSONS CREEK BLVD, STE B BLDG 6, Fort Wayne, IN, 46825
Phone 2604977973
Fax 2604977986
Enumeration date 2006-04-01
Last updated in NPPES 2007-10-17

Authorized official

Name Carl Myers
Title President
Phone 2604977973

Taxonomy & classification

Taxonomy code Specialty Primary License State
152W00000X Optometrist Primary 18002177A IN

Other identifiers

Identifier Type State Issuer
200427750A Medicaid IN
5544260001 Other IN DMEPOS
Copy-ready billing details
Provider: Indiana Vision Development Center PC
NPI: 1821059320
Taxonomy: 152W00000X (Optometrist)
Address: 10343 DAWSONS CREEK BLVD, STE B BLDG 6, Fort Wayne, IN, 46825

Providers at this address

NPI Name Type Specialty Location
1033142542 Albert Emilian Individual Emergency Medicine Physician Fort Wayne, IN
1356357628 Laurette Robey Individual Gynecology Physician Fort Wayne, IN
1992711105 Laurette C. Robey, MD PC Organization Gynecology Physician Fort Wayne, IN
1235341058 Carl Myers Individual Vision Therapy Optometrist Fort Wayne, IN
1356724892 John Heemstra Individual Emergency Medicine Physician Fort Wayne, IN
1225413487 Tracy Mangan Individual Nurse Practitioner Fort Wayne, IN
1336525914 Jessica Compton Individual Nurse Practitioner Fort Wayne, IN

Verify this record

Cross-check NPI 1821059320 against the authoritative CMS record: view Indiana Vision Development Center PC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Indiana Vision Development Center PC located?
The practice location on file with NPPES is in Fort Wayne, IN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-10-17. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-10-17.