Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Privia Medical Group Indiana, LLC

Organization Ophthalmology Physician · NPI 1013380526

Privia Medical Group Indiana, LLC is an Ophthalmology Physician in Elkhart, Indiana. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2222 W Lexington Ave
Elkhart, IN 46514-1420
Phone: (574) 294-3030
Fax: (574) 296-3544
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X

Record details

NPI number1013380526
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Vandergrift — Ceo · (574) 296-3200
Other names Elkhart Eye Care
NPI enumeratedNovember 5, 2015
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing addressPo Box 2968, Elkhart, IN 46515-2968

Other providers in Elkhart