VSP Network(Signature Plan)

Provider Directory

IndianaSearch Criteria:

City: IN-Akron, IN-Albany, IN-Albion, IN-Anderson, IN-Angola, IN-Attica, IN-Auburn, IN-Aurora, IN-Avon, IN-Batesville, IN-Bedford, IN-Berne, IN-Bicknell, IN-Bloomfield, IN-Bloomington, IN-Bluffton, IN-Boonville, IN-Brazil, IN-Bremen, IN-Brookville,IN-Brownsburg, IN-Cambridge City, IN-Camby, IN-Carmel, IN-Cedar Lake, IN-Charlestown, IN-Chesterton, IN-Clarksville,IN-Clinton, IN-Columbia City, IN-Columbus, IN-Connersville, IN-Corydon, IN-Covington, IN-Crawfordsville, IN-Crown Point,IN-Culver, IN-Danville, IN-De Motte, IN-Decatur, IN-Delphi, IN-Dyer, IN-East Chicago, IN-Edinburgh, IN-Elkhart, IN-Ellettsville, IN-Elwood, IN-Evansville, IN-Fishers, IN-Flora, IN-Floyds Knobs, IN-Fort Branch, IN-Fort Wayne, IN-Fortville, IN-Francesville, IN-Frankfort, IN-Franklin, IN-French Lick, IN-Garrett, IN-Gary, IN-Gas City, IN-Goshen, IN-Grabill, IN-Granger,IN-Greencastle, IN-Greenfield, IN-Greensburg, IN-Greenwood, IN-Griffith, IN-Hagerstown, IN-Hammond, IN-Hartford City,IN-Haubstadt, IN-Hebron, IN-Highland, IN-Hobart, IN-Huntingburg, IN-Huntington, IN-Indianapolis, IN-Jasper, IN-Jeffersonville, IN-Kendallville, IN-Knightstown, IN-Knox, IN-Kokomo, IN-La Porte, IN-LaGrange, IN-Lafayette, IN-Lawrenceburg, IN-Lebanon, IN-Leo, IN-Ligonier, IN-Linton, IN-Logansport, IN-Loogootee, IN-Lowell, IN-Lyons, IN-Madison,IN-Marion, IN-Martinsville, IN-McCordsville, IN-Merrillville, IN-Michigan City, IN-Middlebury, IN-Mishawaka, IN-Mitchell, IN-Monticello, IN-Mooresville, IN-Mount Vernon, IN-Muncie, IN-Munster, IN-Nappanee, IN-Nashville, IN-New Albany, IN-NewCarlisle, IN-New Castle, IN-New Haven, IN-New Palestine, IN-New Salisbury, IN-Newburgh, IN-Noblesville, IN-NorthManchester, IN-North Vernon, IN-Oakland City, IN-Odon, IN-Ossian, IN-Paoli, IN-Pendleton, IN-Peru, IN-Petersburg, IN-Plainfield, IN-Plymouth, IN-Portage, IN-Portland, IN-Princeton, IN-Rensselaer, IN-Richmond, IN-Rochester, IN-Rockport, IN-Rockville, IN-Rushville, IN-Salem, IN-Schererville, IN-Scottsburg, IN-Seymour, IN-Shelbyville, IN-Sheridan, IN-Shipshewana, IN-South Bend, IN-Spencer, IN-St. John, IN-Sullivan, IN-Swayzee, IN-Syracuse, IN-Tell City, IN-Terre Haute,IN-Tipton, IN-Valparaiso, IN-Versailles, IN-Vevay, IN-Vincennes, IN-Wabash, IN-Warren, IN-Warsaw, IN-Washington, IN-West Lafayette, IN-Westfield, IN-Whiteland, IN-Whiting, IN-Winamac, IN-Winchester, IN-Zionsville

Languages spoken: English

Number of providers in directory: 1546

May, 2014

The Guardian Life Insurance Company of America, New York, NY 10004.

TABLE OF CONTENTS

Akron 2

Albany 2

Albion 2

Anderson 2

Angola 2

Attica 2

Auburn 2

Aurora 2

Avon 2

Batesville 2

Bedford 2

Berne 2

Bicknell 2

Bloomfield 2

Bloomington 2

Bluffton 2

Boonville 2

Brazil 2

Bremen 2

Brookville 2

Brownsburg 2

Cambridge City 2

Camby 2

Carmel 2

Cedar Lake 3

Charlestown 3

Chesterton 3

Clarksville 3

Clinton 3

Columbia City 3

Columbus 3

Connersville 3

Corydon 3

Covington 3

Crawfordsville 3

Crown Point 3

Culver 3

Danville 3

De Motte 3

Decatur 3

Delphi 3

Dyer 3

East Chicago 3

Edinburgh 3

Elkhart 3

Ellettsville 4

Elwood 4

Evansville 4

Fishers 4

Flora 4

Floyds Knobs 4

Fort Branch 4

Fort Wayne 4

Fortville 4

Francesville 4

Frankfort 5

Franklin 5

French Lick 5

Garrett 5

Gary 5

Gas City 5

Goshen 5

Grabill 5

Granger 5

Greencastle 5

Greenfield 5

Greensburg 5

Greenwood 5

Griffith 5

Hagerstown 5

Hammond 5

Hartford City 5

Haubstadt 5

Hebron 5

Highland 5

Hobart 5

Huntingburg 5

Huntington 5

Indianapolis 5

Jasper 7

Jeffersonville 7

Kendallville 7

Knightstown 7

Knox 7

Kokomo 7

La Porte 7

LaGrange 7

Lafayette 7

Lawrenceburg 8

Lebanon 8

Leo 8

Ligonier 8

Linton 8

Logansport 8

Loogootee 8

Lowell 8

Lyons 8

Madison 8

Marion 8

Martinsville 8

McCordsville 8

Merrillville 8

Michigan City 8

Middlebury 8

Mishawaka 8

Mitchell 8

Monticello 8

Mooresville 8

Mount Vernon 8

Muncie 9

Munster 9

Nappanee 9

Nashville 9

New Albany 9

New Carlisle 9

New Castle 9

New Haven 9

New Palestine 9

New Salisbury 9

Newburgh 9

Noblesville 9

North Manchester 9

North Vernon 9

Oakland City 9

Odon 9

Ossian 9

Paoli 9

Pendleton 9

Peru 9

Petersburg 9

Plainfield 9

Plymouth 10

Portage 10

Portland 10

Princeton 10

Rensselaer 10

Richmond 10

Rochester 10

Rockport 10

Rockville 10

Rushville 10

Salem 10

Schererville 10

Scottsburg 10

Seymour 10

Shelbyville 10

Sheridan 10

Shipshewana 10

South Bend 10

Spencer 10

St. John 10

Sullivan 10

Swayzee 10

Syracuse 11

Tell City 11

Terre Haute 11

Tipton 11

Valparaiso 11

Versailles 11

Vevay 11

Vincennes 11

Wabash 11

Warren 11

Warsaw 11

Washington 11

West Lafayette 11

Westfield 11

Whiteland 11

Whiting 11

Winamac 11

Winchester 11

Zionsville 11

NETWORK OVERVIEW

GO GREEN!

To help reduce the consumption of paper, pleaseaccess provider information from The Guardian FindA Provider site, via links on www.glic.com andwww.GuardianAnytime.com.The site is available24/7 and allows you to search for providers or createa customized provider directory.

QUALITY CARE YOU CAN COUNT ON

Guardian Vision featuring the VSP Network offersrich benefits with exceptional flexibility - a variety ofplan designs, benefit frequencies, and co-payoptions.VSP is one of the nation's largest eyecare providernetworks with more than 36,000 private practicedoctors.

VSP NETWORK PROVIDERS(In-Network Benefits)

Generous Network discounts include an average of30% off lens options such as tints and scratch-resistent coatings on the initial pair of glasses, 20%off sunglasses and additional complete pairs ofglasses, and an average of 15% off of laser visioncorrection.

NON-VSP NETWORK PROVIDERS(Out-Of-Network Benefits)

Members can visit any eye care provider they wish,but save significantly on out-of-pocket costs whenvisiting a VSP network doctor.

FOR MORE INFORMATION ABOUT YOUR PLANFor more information about your Vision plan, refer toyour Guardian Group Insurance Plan Booklet or goto www.GuardianAnytime.com

Go online! www.GuardianAnytime.comAccess your Guardian benefits information 24 hours a day, 7 days a week

Guardian Anytime is our secure website where you can check benefits and coverage information, checkthe status of a claim, find a provider via Guardian's Find A Provider site, print forms and plan materialsand more! Registered users can go online anytime, anywhere - it's available 24 hours a day, 7 days aweek.If you haven't registered yet, it's easy! Go to www.GuardianAnytime.com. You'll be online in minutes!

VSP Network (Signature Plan)

Member Services 1-800-877-7195

* Currently not accepting new patients. This information is intended for reference only and is subject to change.It is the member’s responsibility to verify theprovider’s network participation prior to obtaining treatment. 1

VISION

AKRON

Harris,Mark 100 West RochesterStreet

(574) 893-7050

ALBANY

Ford,Craig 926 West WalnutStreet

(765) 789-4404

ALBION

Geiger,Jillian 815 Trail Ridge Road (260) 636-7788Lichlyter,Craig 815 Trail Ridge Road (260) 636-7788Roush,Alan 815 Trail Ridge Road (260) 636-7788Roush,Elizabeth 815 Trail Ridge Road (260) 636-7788Will,Matthew 815 Trail Ridge Road (260) 636-7788

ANDERSON

Bailey,Jennifer 1537 SouthScatterfield Road

(765) 649-1200

Ball,Steven 2109 Scatterfield RdBox 26

(765) 644-3393

Burich,Marilyn 2109 Scatterfield RdBox 26

(765) 644-3393

Crawley,Kenneth 2109 Scatterfield RdBox 26

(765) 644-3393

Fechtman,James 2109 Scatterfield RdBox 26

(765) 644-3393

Happel,Albert 1921 East 53rdStreet

(765) 649-2278

Happel,Albert 3330 North StateRoad 9

(765) 642-4769

Hartill,James 2109 Scatterfield RdBox 26

(765) 644-3393

Macha,Rajender 1537 SouthScatterfield Road

(765) 649-1200

Mccoy,Michael 2109 Scatterfield RdBox 26

(765) 644-3393

Nelson,Kiersten 1921 East 53rdStreet

(765) 649-2278

Seay Ii,Robert 2109 Scatterfield RdBox 26

(765) 644-3393

Sparks,Monte 2109 Scatterfield RdBox 26

(765) 644-3393

Stovall,Nancy Carol 2109 Scatterfield RdBox 26

(765) 644-3393

Teeple,Rex 1921 East 53rdStreet

(765) 649-2278

Wagler,Tony 1537 SouthScatterfield Road

(765) 649-1200

Walrath,Judy 2109 Scatterfield RdBox 26

(765) 644-3393

Warthman,Jerry 1923 West 53rdStreet

(765) 644-0060

Yang,Yi Shuang 1628 Medical ArtsBoulevard

(765) 649-5221

ANGOLA

Baals,Grey 712 Cameron WoodsDr

(260) 665-3240

Baals,Grey 240 Hoosier Drive (260) 668-3937Demetrulias,Angela 1202 North Wayne

Street(260) 665-2825

Dunlap,Craig 204 South WayneStreet

(260) 665-5450

Dunlap,Keith 204 South WayneStreet

(260) 665-5450

Harberts,Brent 712 Cameron WoodsDr

(260) 665-3240

Holicki,Joseph 1202 North WayneStreet

(260) 665-2825

Lantz,Danica 1202 North WayneStreet

(260) 665-2825

Magwire,Brian 407 West MaumeeStreet

(260) 665-5918

Taylor,Daniel 712 Cameron WoodsDr

(260) 665-3240

Wiegand,Thomas 712 Cameron WoodsDr

(260) 665-3240

Wiegand,Thomas 240 Hoosier Drive (260) 668-3937

ATTICA

Alfred,Angela 211 South PerryStreet

(765) 762-2652

Giltner,Ashley 211 South PerryStreet

(765) 762-2652

Mcmillin,Lindy 211 South PerryStreet

(765) 762-2652

Piggott,Loretta 211 South PerryStreet

(765) 762-2652

Sharp,Brandon 211 South PerryStreet

(765) 762-2652

AUBURN

Frye,Michelle 1212 North MainStreet

(260) 925-1916

Good,Allison 407 Smith Drive (260) 925-3116Harberts,Brent 407 Smith Drive (260) 925-3116

Johnson,Thomas 407 Smith Drive (260) 925-3116Morrow,Douglas 1212 North Main

Street(260) 925-1916

AURORA

Burton,Frank 401 3rd Street (812) 926-0942

AVON

Colon,Luis 1115 Ronald ReaganParkway,#223

(317) 217-3937

Grove,Alicia 1115 Ronald ReaganParkway,#223

(317) 217-3937

Snyder,Karina 1115 Ronald ReaganParkway,#223

(317) 217-3937

Swords,Elizabeth 5250 East USHighway 36,#240

(317) 745-3377

Swords,Thomas 5250 East USHighway 36,#240

(317) 745-3377

Whitson,William 1115 Ronald ReaganParkway,#223

(317) 217-3937

BATESVILLE

Wade,John 1049 Indiana 229 (812) 934-2117Wilson,Gregory 1055 Tekulve Road (812) 934-5347

BEDFORD

Atchison,Alison 1537 J Street (812) 675-0890Jones,Marc Alan 1901 16th Street (812) 279-0148Mcclain,Nathan 3250 16th Street (812) 279-3466Sowders,Jim 1615 O Street (812) 275-6155Watts,Michael 1506 Beech Street (812) 275-7806Wilhite,James 1803 16th Street (812) 275-5296

BERNE

Bixler,Scott 305 U.S. 27 (260) 589-2020De Groff,Steven 150 Forest Park (260) 589-3197Lehman,Scott 305 U.S. 27 (260) 589-2020Mummert,Christina 150 Forest Park (260) 589-3197

BICKNELL

Dale,Joseph 610 West 11th Street (812) 735-4834

BLOOMFIELD

Steward,James Brian US HWY 231 (812) 384-4801Steward,Lisa Marie US HWY 231 (812) 384-4801

BLOOMINGTON

Atchison,Alison 744 East 3rd Street (812) 855-8436Balcueva,Daniel 101 West Kirkwood

Avenue,#120(812) 331-9082

Ball,Steven 2552 East 3rd Street (812) 332-3432Bell,Kelsey 1105 South College

Mall Road(812) 333-2020

Bell,Kelsey 4719 West StateRoad 46

(812) 876-2020

Brinegar,Ronald 4001 East 3rdStreet,#8

(812) 339-7995

Burich,Marilyn 2552 East 3rd Street (812) 332-3432Cohen,Harold 2901 South McIntyre

Drive(812) 332-1401

Cooke,Aaron 2552 East 3rd Street (812) 332-3432Corey,Natalie 744 East 3rd Street (812) 855-8436Deckard,Brandy 322 South

Woodscrest Drive(812) 332-2020

Despirito Ii,Joseph 4719 West StateRoad 46

(812) 876-2020

Despirito Ii,Joseph 1105 South CollegeMall Road

(812) 333-2020

Dewar Jr,Lloyd 2552 East 3rd Street (812) 332-3432Fechtman,James 2552 East 3rd Street (812) 332-3432Hartill,James 2552 East 3rd Street (812) 332-3432Howard,Denise 322 South

Woodscrest Drive(812) 332-2020

Jimenez,Lithia 355 South LandmarkAvenue

(812) 333-4220

Long,Angela 660 South CollegeAvenue

(812) 332-5090

Long,Walter 660 South CollegeAvenue

(812) 332-5090

MccallaJackson,Margaret

2600 West 3rd Street (812) 336-5432

Mccoy,Michael 2552 East 3rd Street (812) 332-3432Morris,Kristina 4619 South Plaza

Drive(812) 332-3937

Olund,Candice 2600 West 3rd Street (812) 336-5432Poling,John 2656 East 2nd Street (812) 339-6131Russell,Bethany 1105 South College

Mall Road(812) 333-2020

Russell,Bethany 4719 West StateRoad 46

(812) 876-2020

Sch Of Opt,Ind Univ 744 East 3rd Street (812) 855-8436Seay Ii,Robert 2552 East 3rd Street (812) 332-3432Short,Diane 415 South Clarizz

Boulevard(812) 333-1911

Short,Zachary 415 South ClarizzBoulevard

(812) 333-1911

Stovall,Nancy Carol 2552 East 3rd Street (812) 332-3432

Tewel Jr,Kenneth 2901 South McIntyreDrive

(812) 332-1401

Walrath,Judy 2552 East 3rd Street (812) 332-3432

BLUFFTON

Gustus,Ryan 980 North MainStreet

(260) 824-2020

Hullinger,Sandra 980 North MainStreet

(260) 824-2020

Liechty,Jill 980 North MainStreet

(260) 824-2020

Miller,Julayne 105 Harvest Road (260) 824-3424Mitchell,Matthew 105 Harvest Road (260) 824-3424Schamerloh,Richard 980 North Main

Street(260) 824-2020

Vanwinkle,James 105 Harvest Road (260) 824-3424

BOONVILLE

Hyndman,David 1001 Millis Avenue (812) 897-5000Mcwilliams,Brittney 966 Aigner Drive (812) 897-8900Phillips,David 966 Aigner Drive (812) 897-8900

BRAZIL

Bonham,Nilah 325 West NationalAvenue

(812) 443-0060

Lowdermilk,Stacy 325 West NationalAvenue

(812) 443-0060

Nesty,Gary 1515 East NationalAvenue

(812) 448-1898

Reed Thomas,Alicia 603 West NationalAvenue

(812) 443-3937

BREMEN

Hickman,Kevin 122 West PlymouthStreet

(574) 546-4400

Schneider,Edward 122 West PlymouthStreet

(574) 546-4400

BROOKVILLE

Edwards,Thomas 10054 Cooley Road (765) 647-6883

BROWNSBURG

Bogan,David 480 East NorthfieldDrive,#600

(317) 852-4751

Curts,Stephanie 480 East NorthfieldDrive,#600

(317) 852-4751

Hoffman,Richard 90 Hornaday Road (317) 852-4741Hoying,Jennifer 90 E Garner Rd Ste

A(317) 858-7900

Judson,Amanda 90 E Garner Rd SteA

(317) 858-7900

Shafer,Melissa 67 East GarnerRoad,#800

(317) 852-5000

Singson,Christine 90 Hornaday Road (317) 852-4741Wehrle,Christopher 90 Hornaday Road (317) 852-4741

CAMBRIDGE CITY

Amrhein,Lyle 3 Parkview Court (765) 478-3717

CAMBY

Butorac,Geoff 8411 WindfallLane,#130

(317) 856-5677

Crider,Benjamin 8411 WindfallLane,#130

(317) 856-5677

Freedman,Irving 8411 WindfallLane,#130

(317) 856-5677

Porter,Dianne 8190 Windfall Lane (317) 856-2000

CARMEL

Abrams,John 11455 NorthMeridian Street,#100

(317) 846-4223

Acton,Bryan 111 West MainStreet,#135

(317) 571-9292

Allison,Scott 12513 NorthMeridian Street

(317) 575-1133

Allspaw,Elizabeth 12513 NorthMeridian Street

(317) 575-1133

Avila,Judson 12513 NorthMeridian Street

(317) 575-1133

Avila,Meagan 12513 NorthMeridian Street

(317) 575-1133

Barrett,Erik Scott 111 West MainStreet,#135

(317) 571-9292

Berghoff,Angela 630 3rd AvenueSouthwest,#100

(317) 844-7474

Billman,William 1180 Medical Court (317) 818-3490Burkart,Matthew 3965 West 106th

Street,#120(317) 875-9339

Ciano,Jeremy 726 AdamsStreet,#155

(317) 420-2020

Ciano,Jeremy 14250 Clay TerraceBoulevard,#160

(317) 844-2020

Corey,Natalie 12513 NorthMeridian Street

(317) 575-1133

Coriell,Holly 14555 Hazel DellParkway,#120

(317) 706-2020

Eastes,Elizabeth 14250 Clay TerraceBoulevard,#160

(317) 844-2020

VSP Network (Signature Plan)

Indiana Member Services 1-800-877-7195

* Currently not accepting new patients. This information is intended for reference only and is subject to change.It is the member’s responsibility to verify theprovider’s network participation prior to obtaining treatment. 2

Ewers,Ganhan 12513 NorthMeridian Street

(317) 575-1133

Fewell,Michael 111 West MainStreet,#135

(317) 571-9292

Fiddler,Brian 12513 NorthMeridian Street

(317) 575-1133

Flora,Abbey Dawn 12513 NorthMeridian Street

(317) 575-1133

Fraser,Ami 12513 NorthMeridian Street

(317) 575-1133

Funk,Thomas 111 West MainStreet,#135

(317) 571-9292

Gelarden,Kelly 3965 West 106thStreet,#120

(317) 875-9339

Godfrey,John 12513 NorthMeridian Street

(317) 575-1133

Harper,Robert 30 1st StreetSouthwest

(317) 848-9081

Hasty,Scott 12513 NorthMeridian Street

(317) 575-1133

Hunt,Melissa 30 1st StreetSouthwest

(317) 848-9081

Imler,Eustacia 12513 NorthMeridian Street

(317) 575-1133

Koval,Larry 3965 West 106thStreet,#120

(317) 875-9339

Koval,Larry 12513 NorthMeridian Street

(317) 575-1133

Kramer,James 12513 NorthMeridian Street

(317) 575-1133

Lauck,Dennis 30 1st StreetSouthwest

(317) 848-9081

Leburg,Elizabeth 12513 NorthMeridian Street

(317) 575-1133

Leburg,Elizabeth 3965 West 106thStreet,#120

(317) 875-9339

Loman,Steven 630 3rd AvenueSouthwest,#100

(317) 844-7474

Mann,Deborah 11455 NorthMeridian Street,#100

(317) 846-4223

Markley,Harvey 3965 West 106thStreet,#120

(317) 875-9339

Mclean,Angeline 30 1st StreetSouthwest

(317) 848-9081

Miller,Anne 12513 NorthMeridian Street

(317) 575-1133

Nelson,Kiersten 12513 NorthMeridian Street

(317) 575-1133

Noreika,Alma 12513 NorthMeridian Street

(317) 575-1133

Ossip,Gregg 12513 NorthMeridian Street

(317) 575-1133

Robinson,Rhonda 12513 NorthMeridian Street

(317) 575-1133

Rothbaum,Michael 11455 NorthMeridian Street,#100

(317) 846-4223

Schuetz,Katherine 14250 Clay TerraceBoulevard,#160

(317) 844-2020

Schuetz,Katherine 726 AdamsStreet,#155

(317) 420-2020

Shackle,John 12513 NorthMeridian Street

(317) 575-1133

Shaffer,Philip 630 3rd AvenueSouthwest,#100

(317) 844-7474

Shah,Anjali 12513 NorthMeridian Street

(317) 575-1133

Shah,Shilpa 12513 NorthMeridian Street

(317) 575-1133

Simmerman,Jerrell 1180 MedicalCourt,#3c

(317) 848-4041

Smith,Greg 12513 NorthMeridian Street

(317) 575-1133

Smith,Kathryn Lavon 12513 NorthMeridian Street

(317) 575-1133

Teeple,Rex 12513 NorthMeridian Street

(317) 575-1133

Wittmann,Tammy 2792 East 146thStreet

(317) 843-2020

Woehrle,Mary 12513 NorthMeridian Street

(317) 575-1133

Wolf,Abby 12513 NorthMeridian Street

(317) 575-1133

CEDAR LAKE

Davids,Jill 13115 WickerAvenue

(219) 374-7800

Veld,Paul 13115 WickerAvenue

(219) 374-7800

CHARLESTOWN

Hawker,Nicholas 954 Market Street (812) 256-6321

CHESTERTON

Brett,Joseph 209 South CalumetRoad,#7

(219) 926-1780

Hoover,Nathan 374 Indian BoundaryRoad

(219) 395-1575

CLARKSVILLE

Crane,Nichole 748 EasternBoulevard

(812) 282-7404

Dice,Kelly 207 East Lewis andClark Parkway

(812) 945-2573

Gober,Thomas 1420 Blackiston MillRoad

(812) 288-2029

Keys,Glen 748 EasternBoulevard

(812) 282-7404

Maudlin,Spencer 748 EasternBoulevard

(812) 282-7404

Roberts,Keith 1420 Blackiston MillRoad

(812) 288-2029

Shelton,Andrea 1420 Blackiston MillRoad

(812) 288-2029

Turner,Robin 748 EasternBoulevard

(812) 282-7404

Wolf,Nicholas 748 EasternBoulevard

(812) 282-7404

CLINTON

Rutan,Charles 224 Elm Street (765) 832-3292

COLUMBIA CITY

Hogue,Andrew 513 North Line Street (260) 244-7542Leonhard,Angela 512 North Line Street (260) 244-6474Longenbaugh,Ronald

512 North Line Street (260) 244-6474

Mcclain,Ingrid 512 North Line Street (260) 244-6474

COLUMBUS

Almarales,Melissa 2665 Fox PointeDrive

(812) 379-9893

Burich,Marilyn 2440 North NationalRoad

(812) 372-8895

Coers,Bradford 2520 CaliforniaStreet

(812) 418-0080

Cooke,Aaron 2440 North NationalRoad

(812) 372-8895

Fechtman,James 2440 North NationalRoad

(812) 372-8895

Hartill,James 2440 North NationalRoad

(812) 372-8895

Irons,Mike 2750 Central Avenue (812) 379-4465Larkin,Patrick 1413 Washington

Street(812) 372-1919

Mccoy,Michael 2440 North NationalRoad

(812) 372-8895

Olinger,Natalie 1413 WashingtonStreet

(812) 372-1919

Otte,Nathan Paul 2665 Fox PointeDrive

(812) 379-9893

Pence,Neil 2665 Fox PointeDrive

(812) 379-9893

Posey,Amanda 2665 Fox PointeDrive

(812) 379-9893

Seay Ii,Robert 2440 North NationalRoad

(812) 372-8895

Stovall,Nancy Carol 2440 North NationalRoad

(812) 372-8895

Van Arsdall,Ken 1033 Jackson Street (812) 376-3068Walrath,Judy 2440 North National

Road(812) 372-8895

Wilson,Douglas 3902 East 25thStreet

(812) 375-9390

Woodruff,Robert 2750 Central Avenue (812) 379-4465

CONNERSVILLE

Beatty,Elise Lorene 2045 Virginia Avenue (765) 825-6000Beatty,Timothy 2045 Virginia Avenue (765) 825-6000Coats,Chad 522 North Eastern

Avenue(765) 825-4127

Jennings,Emilie 2045 Virginia Avenue (765) 825-6000Yaryan,KevinAndrew

522 North EasternAvenue

(765) 825-4127

CORYDON

Moss,Pat 215 East ChestnutStreet

(812) 738-2278

COVINGTON

Giltner,Ashley 514 3rd Street (765) 793-4535Mcmillin,Lindy 514 3rd Street (765) 793-4535MikusevichFinney,Christine

514 3rd Street (765) 793-4535

Sharp,Brandon 514 3rd Street (765) 793-4535

CRAWFORDSVILLE

Boyd,Gordon 1485 South GrantAvenue

(765) 362-3209

Debnath,Subodh 408 West MarketStreet

(765) 362-4893

Ledgerwood,Karen 502 East Main Street (765) 362-8606Scheidler,Michael 109 East Main Street (765) 362-2706Stout,Richard 502 East Main Street (765) 362-8606

CROWN POINT

Bogart,Sheila 321 North MainStreet

(219) 663-5960

Bonilla,Virginia 1861 East SummitStreet

(219) 663-4450

Houchin,Susan 10751 RandolphStreet

(219) 226-9477

Ireland,Richard 297 West FranciscanDrive,#101

(219) 662-0999

Jack,Colin 297 West FranciscanDrive,#101

(219) 662-0999

Kohn,Jennifer 1861 East SummitStreet

(219) 663-4450

Lewyckyj,Myron 297 West FranciscanDrive,#101

(219) 662-0999

Lorino,Lourdes 11420 Broadway (219) 662-0066Menon,Nandini 297 West Franciscan

Drive,#101(219) 662-0999

Moses,Robert 1861 East SummitStreet

(219) 663-4450

Moses,RobertJoseph

1861 East SummitStreet

(219) 663-4450

Scearce,Gary 449 East SummitStreet

(219) 662-1600

Schilling,Nikole 297 West FranciscanDrive,#101

(219) 662-0999

Smith,Bruce 321 North MainStreet

(219) 663-5960

Taglia,Daniel 297 West FranciscanDrive,#101

(219) 662-0999

Tsagris,Sarah 297 West FranciscanDrive,#101

(219) 662-0999

Vargo,Steve 449 East SummitStreet

(219) 662-1600

CULVER

Couts,Mark 202 North MainStreet

(574) 842-3372

DANVILLE

Allen,Keely 502 West MainStreet

(317) 745-4546

Goodell,Ruth 1 Manor Drive (317) 745-2350Hedges,Stephen 502 West Main

Street(317) 745-4546

Zauel,David 1 Manor Drive (317) 745-2350

DE MOTTE

De Boer,Timothy 609 North HalleckStreet

(219) 987-3673

Deboer,John 609 North HalleckStreet

(219) 987-3673

Devries,Gerrit 609 North HalleckStreet

(219) 987-3673

DECATUR

Baron,Richard 710 South 13thStreet

(260) 724-4318

Bennett,Steve 1401 North 13thStreet

(260) 724-2517

Harshman,Michael 815 South 13thStreet

(260) 724-4111

DELPHI

Miller,Scott Alan 750 East Main Street (765) 564-2800Norman,Gregory 750 East Main Street (765) 564-2800

DYER

Alavanja,Jovan 942 Richard Road (219) 864-1430Davids,Jill 1001 Main Street,#1 (219) 322-7800Mansueto,Andrew 942 Richard Road (219) 864-1430Veld,Paul 1001 Main Street,#1 (219) 322-7800

EAST CHICAGO

Fary,Ronald 4902 IndianapolisBoulevard

(219) 398-2066

Ferguson,James 1820 East ColumbusDrive

(219) 398-2020

Kouklakis,Alexander 4902 IndianapolisBoulevard

(219) 398-2066

Watkins,Neil 3723 Main Street (219) 398-1832

EDINBURGH

Zamora,Marshall 210 West MainCross Street

(812) 526-7444

ELKHART

Anderson,Andrew 2216 CassopolisStreet

(574) 266-2111

Ball,Steven 3701 South MainStreet

(574) 875-4499

Beisel,Lynda 2216 CassopolisStreet

(574) 266-2111

Boling Ii,Richard 2746 Old U.S. 20 (574) 293-3545Britzke,David 56028 Parkway

Avenue(574) 970-7444

Burich,Marilyn 3701 South MainStreet

(574) 875-4499

Campagnoli,S 413 West FranklinStreet

(574) 295-8820

VSP Network (Signature Plan)

Indiana Member Services 1-800-877-7195

* Currently not accepting new patients. This information is intended for reference only and is subject to change.It is the member’s responsibility to verify theprovider’s network participation prior to obtaining treatment. 3

Coalter,John 3701 South MainStreet

(574) 875-8511

Conner,Joshua 2216 CassopolisStreet

(574) 266-2111

Cooke,Aaron 3701 South MainStreet

(574) 875-4499

Danahey,Kevin 2216 CassopolisStreet

(574) 266-2111

Egan,Kevin 2746 Old U.S. 20 (574) 293-3545Elias,Yair 2730 Cassopolis

Street(574) 266-5470

Erdmann,Susan 1751 East BristolStreet

(574) 264-5001

Erdmann Jr,Richard 1751 East BristolStreet

(574) 264-5001

Fechtman,James 3701 South MainStreet

(574) 875-4499

Garmon,Allison 3701 South MainStreet

(574) 875-8511

Hartill,James 3701 South MainStreet

(574) 875-4499

James,Charlene 2746 Old U.S. 20 (574) 293-3545Layman,Amy 2746 Old U.S. 20 (574) 293-3545Mccoy,Michael 3701 South Main

Street(574) 875-4499

Milovich,Ronald 2730 CassopolisStreet

(574) 266-5470

Myers Ii,James 1506 Osolo Road (574) 262-3631Nevel,Bernard 2216 Cassopolis

Street(574) 266-2111

Pugh,Karen 3701 South MainStreet

(574) 875-4499

Riaz,Kamran 2746 Old U.S. 20 (574) 293-3545Roach,Michael 3701 South Main

Street(574) 875-8511

Rotheker,Michael 3701 South MainStreet

(574) 875-8511

Seay Ii,Robert 3701 South MainStreet

(574) 875-4499

Sonnenburg,David 3701 South MainStreet

(574) 875-8511

Stovall,Nancy Carol 3701 South MainStreet

(574) 875-4499

Szuba,Shannon 2216 CassopolisStreet

(574) 266-2111

Walker Jr,Mark 2746 Old U.S. 20 (574) 293-3545Walrath,Judy 3701 South Main

Street(574) 875-4499

Weiss,Richard 2216 CassopolisStreet

(574) 266-2111

Wise,Pamela 2216 CassopolisStreet

(574) 266-2111

ELLETTSVILLE

Dewar Jr,Lloyd 121 South 3rd Street (812) 876-6899

ELWOOD

Moser,Ashley 1900 South P Street (765) 552-7377Moser,Rebecca 1900 South P Street (765) 552-7377Moser,Thomas 1900 South P Street (765) 552-7377

EVANSVILLE

Aljajeh,Mouhab 1001 Walnut Street (812) 421-2020Alumbaugh,Kimberly 1001 Walnut Street (812) 421-2020Bigham,Allyson 2417 West Franklin

Street(812) 423-5000

Bigham,James 634 Cross ValleyCircle

(812) 401-7777

Brackett,Christopher 4405 BellemeadeAvenue,#101

(812) 474-1010

Brizius,Scott 2700 Lincoln Avenue (812) 477-8696Cottingham,Christina 5405 Pearl Drive,#4 (812) 426-2066Crowley,Timothy 4405 Bellemeade

Avenue,#101(812) 474-1010

Dukar,Omar 1020 West BuenaVista Road

(812) 423-3131

Dukar,Omar 1449 KimberLane,#102a

(812) 402-8052

Dulay,Dion 5200 WashingtonAvenue,#3000

(812) 476-1462

Egenmaier,Michelle 213 Main Street (812) 424-4444Embry,Stacey 2700 Lincoln Avenue (812) 477-8696Englert,Judith 1020 West Buena

Vista Road(812) 423-3131

Garland,Benjamin 1033 East MountPleasant Road

(812) 437-2020

Hardesty,PaulJeffrey

5700 Vogel Road (812) 476-2020

Haywood,Roger 213 Main Street (812) 424-4444HaywoodPfender,Kim

213 Main Street (812) 424-4444

Hodges,Michael 1020 West BuenaVista Road

(812) 423-3131

Hodges,Michael 1449 KimberLane,#102a

(812) 402-8052

Hussmann,Morgan 2311 West FranklinStreet

(812) 425-5131

Irvin,Jeffrey 634 Cross ValleyCircle

(812) 401-7777

Jones,Katherine 5700 Vogel Road (812) 476-2020

King,Kyle 213 Main Street (812) 424-4444Loehr,Thomas 421 Chestnut Street (812) 426-6624Malitz,David 1001 Walnut Street (812) 421-2020Mcwilliams,Brittney 1001 Walnut Street (812) 421-2020Miles,John 415 Metro Avenue (812) 476-2000Moore,Andrew 2311 West Franklin

Street(812) 425-5131

Niemeier,Todd 2311 West FranklinStreet

(812) 425-5131

Pastora,Reinaldo 421 Chestnut Street (812) 426-6624Penland,William 1449 Kimber

Lane,#102a(812) 402-8052

Penland,William 1020 West BuenaVista Road

(812) 423-3131

Perkins,Jon 4405 BellemeadeAvenue,#101

(812) 474-1010

Pratt,Darrell 562 South GreenRiver Road

(812) 479-5208

Robbins,Brent 6614 Logan Drive (812) 477-6700Roll,Traci 6614 Logan Drive (812) 477-6700Rossman,Zachary 1001 Walnut Street (812) 421-2020Russ,Heather 634 Cross Valley

Circle(812) 401-7777

Ryan,Emily 5600 East VirginiaStreet

(812) 477-6243

Sampson,Steven 4404 WashingtonAvenue

(812) 474-0006

Shake,Stuart 5405 Pearl Drive,#4 (812) 426-2066Shake,Stuart 6614 Logan Drive (812) 477-6700Sharp,Andrew Dean 5700 Vogel Road (812) 476-2020Simpson,Phillip 562 South Green

River Road(812) 479-5208

Simpson,Stephen 2417 West FranklinStreet

(812) 423-5000

Stout,Steve 5405 Pearl Drive,#4 (812) 426-2066Taylor,Charles 6614 Logan Drive (812) 477-6700Taylor,Charles 5405 Pearl Drive,#4 (812) 426-2066Tharp,Andrew 421 Chestnut Street (812) 426-6624Tillman,Kurt 1700 South Green

River Road(812) 476-4936

Tillman,S 1700 South GreenRiver Road

(812) 476-4936

Verbeck,Christine 111 South Red BankRoad

(812) 423-4984

Weyer,Eric 421 Chestnut Street (812) 426-6624Weyer,Jonathan 421 Chestnut Street (812) 426-6624Woods,Larry 421 Chestnut Street (812) 426-6624

FISHERS

Acton,Bryan 11845 AllisonvilleRoad,#300

(317) 585-9295

Allison,Scott 7840 East 96thStreet

(317) 595-9999

Bailey,Jennifer 8977 East 116thStreet

(317) 913-0700

Barrett,Erik Scott 11845 AllisonvilleRoad,#300

(317) 585-9295

Bickel,Karen 7840 East 96thStreet

(317) 595-9999

Birtwhistle,Timothy 8977 East 116thStreet

(317) 913-0700

Daugherty,James 11559 CumberlandRoad

(317) 594-5000

Ewers,Ganhan 7840 East 96thStreet

(317) 595-9999

Fewell,Michael 11845 AllisonvilleRoad,#300

(317) 585-9295

Fiddler,Brian 7840 East 96thStreet

(317) 595-9999

Fraser,Ami 7840 East 96thStreet

(317) 595-9999

Lopez,Katherine 8977 East 116thStreet

(317) 913-0700

Lopez,Perry 8977 East 116thStreet

(317) 913-0700

Obenauf DiGregory,Lori

9760 Lantern Road (317) 577-9200

Pall,Jillian 11559 CumberlandRoad

(317) 594-5000

Riina,Kari 11848 OlioRoad,#300

(317) 570-8100

Roark,Mark 10967 AllisonvilleRoad,#120

(317) 577-0707

Shah,Anjali 9760 Lantern Road (317) 577-9200Sigler,Shawn 9536 East 126th

Street(317) 578-2020

Smith,Kevin 11848 OlioRoad,#300

(317) 570-8100

Stumpf,Charles 7840 East 96thStreet

(317) 595-9999

Sweet,Sunali 9760 Lantern Road (317) 577-9200Walborn,Brian 8977 East 116th

Street(317) 913-0700

FLORA

Harmon,Daniel 103 South HowardStreet

(574) 967-4221

FLOYDS KNOBS

Wolf,Nicholas 409 Lafollette StationDr

(812) 728-8163

FORT BRANCH

Ahlfeld,William 800 East MulberryStreet

(812) 753-4991

Ingler,Scott 800 East MulberryStreet

(812) 753-4991

FORT WAYNE

Basham,Bradley 1515 East PauldingRoad

(260) 744-2273

Basham,Bradley 9426 Lima Road (260) 489-5544Bennett,Steve 1850 East Dupont

Road(260) 490-1060

Blume,James 5917 Stoney CreekDrive

(260) 482-8435

Bollheimer,Donald 7750 West JeffersonBoulevard

(260) 459-9595

Bonham,Craig 1240 Medical ParkDrive

(260) 471-2375

Bonham,Craig 431 West ColiseumBoulevard

(260) 484-8516

Brigham,William 902 West WayneStreet

(260) 422-9421

Close,Barry 2821 East StateBoulevard

(260) 482-9514

Dewart,Mona 5014 West JeffersonBoulevard

(260) 432-4060

Dougherty,Kurt 3401 Lake Avenue (260) 422-6396Eggebrecht,Susan 7750 West Jefferson

Boulevard(260) 459-9595

Ellingson,Patrice 9426 Lima Road (260) 489-5544Fedoriw,Natalka 3301 Lake Avenue (260) 422-3937Frederickson,Dawn 10186 Dupont Circle

Drive East(260) 436-7205

Frederickson,Dawn 7232 Engle Road (260) 436-7205Goode,Susan 14413 Illinois Road (260) 616-0184Harberts,Brent 3030 Lake

Avenue,#26(260) 426-5663

Harberts,Brent 431 West ColiseumBoulevard

(260) 484-8516

Hudson,Jeffrey 10186 Dupont CircleDrive East

(260) 436-7205

Hudson,Jeffrey 7232 Engle Road (260) 436-7205Ingle,Mark 1515 East Paulding

Road(260) 744-2273

Larmore,Robert 7900 West JeffersonBoulevard,#305

(260) 436-2000

Laughlin,Kara 3301 Lake Avenue (260) 422-3937Long Ii,James 1221 Medical Park

Drive(260) 484-2720

Manry,Julie 7232 Engle Road (260) 436-7205Manry,Julie 10186 Dupont Circle

Drive East(260) 436-7205

Miller,Brian 7232 Engle Road (260) 436-7205Miller,Scott 10186 Dupont Circle

Drive East(260) 436-7205

Miller,Scott 7232 Engle Road (260) 436-7205Mummert,Christina 14413 Illinois Road (260) 616-0184Pierce,Donald 2874 East Dupont

Road(260) 490-1631

Renshaw,Mark 10186 Dupont CircleDrive East

(260) 436-7205

Renshaw,Mark 7232 Engle Road (260) 436-7205Roth,Zachary 7750 West Jefferson

Boulevard(260) 459-9595

Roth,Zachary 3301 Lake Avenue (260) 422-3937Schroeder,Barbara 3301 Lake Avenue (260) 422-3937Seward,Steven 431 West Coliseum

Boulevard(260) 484-8516

Seward,Steven 3030 LakeAvenue,#26

(260) 426-5663

Taylor,Daniel 431 West ColiseumBoulevard

(260) 484-8516

Taylor,Daniel 3030 LakeAvenue,#26

(260) 426-5663

Taylor,George 3401 Lake Avenue (260) 426-3095Weber,Myra Renee 6110 Maplecrest

Road(260) 486-8833

Wermuth Iii,Alfred 1221 Medical ParkDrive

(260) 471-2000

White,Martin 6110 MaplecrestRoad

(260) 486-8833

Whiteleather,Kevin 4201 LahmeyerRoad

(260) 486-6106

Windsor,Laura 6208 ConstitutionDrive

(260) 432-0575

Windsor,Richard 6208 ConstitutionDrive

(260) 432-0575

Zachman,Thomas 7625 West JeffersonBoulevard

(260) 432-1231

FORTVILLE

Bunnell,Travis 727 East BroadwayStreet

(317) 485-5146

FRANCESVILLE

Moyer,Kim 128 South Bill Street (219) 567-9258

VSP Network (Signature Plan)

Indiana Member Services 1-800-877-7195

* Currently not accepting new patients. This information is intended for reference only and is subject to change.It is the member’s responsibility to verify theprovider’s network participation prior to obtaining treatment. 4

FRANKFORT

Colarusso,Michael 1157 South JacksonStreet

(765) 659-2711

Miller,Scott Alan 1303 South JacksonStreet

(765) 654-8744

Norman,Gregory 1303 South JacksonStreet

(765) 654-8744

Power Jr,Samuel 1608 East WabashStreet

(765) 659-4404

Stafford,Lisa 2070 South StateRoad 39

(765) 659-2020

FRANKLIN

Armstrong,Brandon 1037 West JeffersonStreet

(317) 736-7722

Armstrong,Randall 1037 West JeffersonStreet

(317) 736-7722

Barnes,Betty Jane 1751 North MainStreet

(317) 736-8440

Frechette,Linda 89 East JeffersonStreet

(317) 736-7715

Janis,Paul 950 West JeffersonStreet

(317) 738-2181

Newman,Elizabeth 89 East JeffersonStreet

(317) 736-7715

Prather,Christopher 1037 West JeffersonStreet

(317) 736-7722

Turner Sr,Antonio 89 East JeffersonStreet

(317) 736-7715

FRENCH LICK

Cooke,Aaron 8849 56,#1 (812) 936-5222Short,Zachary 8849 56,#1 (812) 936-5222

GARRETT

Frye,Michelle 110 North RandolphStreet

(260) 357-6261

Morrow,Douglas 110 North RandolphStreet

(260) 357-6261

GARY

Bonilla,Virginia 3733 Broadway (219) 887-0030Fary,Ronald 521 Broadway (219) 882-9397Kohn,Jennifer 3733 Broadway (219) 887-0030Kouklakis,Alexander 521 Broadway (219) 882-9397Moses,Robert 3733 Broadway (219) 887-0030Moses,RobertJoseph

3733 Broadway (219) 887-0030

Moses,RobertJoseph

701 West 5thAvenue

(219) 881-0655

Vargo,Steve 521 Broadway (219) 882-9397Watkins,Neil 2318 West 5th

Avenue(219) 885-0116

GAS CITY

Hoyle Jr,Ronald 200 East Main Street (765) 674-2001Smith,Jennifer 200 East Main Street (765) 674-2001Wright,James 125 South 7th Street (765) 674-7781

GOSHEN

Anderson,Andrew 1765 Stafford Court (574) 533-0100Boling Ii,Richard 1615 Winsted

Drive,#1(574) 533-8633

Bowman,Shayna 116 WestWashington Street

(574) 533-7345

Clark,Linda 1765 Stafford Court (574) 533-4910Cripe,David 1722 Bashor Road (574) 533-4141James,Charlene 1615 Winsted

Drive,#1(574) 533-8633

Kaufman,Rod 116 WestWashington Street

(574) 533-7345

Kim,John 1765 Stafford Court (574) 533-0100Layman,Amy 1615 Winsted

Drive,#1(574) 533-8633

Mcguire,Teresa 116 WestWashington Street

(574) 533-7345

Stephens,Bryan 1722 Bashor Road (574) 533-4141Stickel,James 1722 Bashor Road (574) 533-4141Weddell,Brett 116 West

Washington Street(574) 533-7345

Wellington Jr,James 116 WestWashington Street

(574) 533-7345

GRABILL

Laughlin,Kara 13813 State Street (260) 627-1091

GRANGER

Albert,Patrick 12479 Indiana 23 (574) 277-3077Blankenbeker,Timothy

12479 Indiana 23 (574) 277-3077

Caine,Jennifer 12479 Indiana 23 (574) 277-3077Coalter,John 12479 Indiana 23 (574) 277-3077Garmon,Allison 12479 Indiana 23 (574) 277-3077Jones,Kristine 13197 Indiana 23 (574) 247-1500Roach,Michael 12479 Indiana 23 (574) 277-3077Sonnenburg,David 12479 Indiana 23 (574) 277-3077Svatos,Tara 13197 Indiana 23 (574) 247-1500

GREENCASTLE

Elliott,Russell 125 East WashingtonStreet

(765) 653-3914

Goodell,Ruth 1111 IndianapolisRoad

(765) 653-8058

Hodges,Daryl 814 East WashingtonStreet

(765) 653-5896

Woodall,Nicholas 814 East WashingtonStreet

(765) 653-5896

Zauel,David 1111 IndianapolisRoad

(765) 653-8058

GREENFIELD

Elsbury,Michael 846 North StateStreet

(317) 462-3326

Kolkmeier,Mary 1451 Jason Road (317) 462-6601Kowaleski,Monica 946 North State

Street(317) 462-3937

Scott,Elaine 1451 Jason Road (317) 462-6601Walling,Christa 1451 Jason Road (317) 462-6601Wilson,Douglas 400 Green Meadows

Drive,#108(317) 477-3937

GREENSBURG

Dooley,Jon 1204 North LincolnStreet

(812) 663-7015

Lohmueller,Carol 223 East WashingtonStreet

(812) 663-2480

Weigel,David 223 East WashingtonStreet

(812) 663-2480

Weigel,Eric 223 East WashingtonStreet

(812) 663-2480

Welage,Thomas 946 East Main Street (812) 663-8405

GREENWOOD

Allen,Keely 30 North EmersonAvenue

(317) 881-3937

Armstrong,Brandon 710 Executive ParkDr Ste N2B

(317) 887-2800

Avila,Meagan 980 Averitt Road (317) 881-4143Ball,Steven Macy's (317) 881-6708Box,David Franklin 30 North Emerson

Avenue(317) 881-3937

Brinegar,Ronald 30 North EmersonAvenue

(317) 881-3937

Browning,Christopher

1160 North StateRoute Ste 135

(317) 865-6829

Buck,Jill 2020 135,#200 (317) 535-3935Burich,Marilyn Macy's (317) 881-6708Butorac,Geoff 2550 135,#104 (317) 535-4049Cooke,Aaron Macy's (317) 881-6708Crider,Benjamin 2550 135,#104 (317) 535-4049Crider,Benjamin 980 Averitt Road (317) 881-4143Crider,Benjamin 730 Executive Park

Drive(317) 887-1017

Elmore,Jeremy 1634 West SmithValley Road

(317) 883-2020

Fechtman,James Macy's (317) 881-6708Flora,Abbey Dawn 980 Averitt Road (317) 881-4143Funk,Thomas 30 North Emerson

Avenue(317) 881-3937

Godfrey,John 980 Averitt Road (317) 881-4143Hartill,James Macy's (317) 881-6708Harvey,Regina 2020 135,#200 (317) 535-3935Helton,Nicole Macy's (317) 881-6708Hoffman,Abbey 2020 135,#200 (317) 535-3935Jahnke,Samantha Macy's (317) 881-6708Jeffirs,Michael 1160 North State

Route Ste 135(317) 865-6829

Keeling,William 30 North EmersonAvenue

(317) 881-3937

Kercheval,David 2550 135,#104 (317) 535-4049Kercheval,David 980 Averitt Road (317) 881-4143Liechty,Jenna 1160 North State

Route Ste 135(317) 865-6829

Mcconnaha,Debra 1634 West SmithValley Road

(317) 883-2020

Mccormick,Charles 30 North EmersonAvenue

(317) 881-3937

Mccoy,Michael Macy's (317) 881-6708Null,Terry 1160 North State

Route Ste 135(317) 865-6829

Park,Heidi Marie Macy's (317) 881-6708Rader,Nicholas 30 North Emerson

Avenue(317) 881-3937

Richard,Patrick 710 Executive ParkDr Ste N2B

(317) 887-2800

Schmutzler,John Macy's (317) 881-6708Seay,David Macy's (317) 881-6708Seay Ii,Robert Macy's (317) 881-6708Senac,Amanda 730 Executive Park

Drive(317) 887-1017

Smith,Greg 980 Averitt Road (317) 881-4143Stovall,Nancy Carol Macy's (317) 881-6708Titus,Dirk 730 Executive Park

Drive(317) 887-1017

Venezia,Linda 980 Averitt Road (317) 881-4143Walrath,Judy Macy's (317) 881-6708Warner,Aaron 1642 Olive Branch

Parke Ln(317) 883-0071

Woehrle,Mary 980 Averitt Road (317) 881-4143Woodall,Nicholas 30 North Emerson

Avenue(317) 881-3937

GRIFFITH

Bonilla,Virginia 339 North BroadStreet

(219) 924-8000

Kohn,Jennifer 339 North BroadStreet

(219) 924-8000

Moses,Robert 339 North BroadStreet

(219) 924-8000

Moses,RobertJoseph

339 North BroadStreet

(219) 924-8000

HAGERSTOWN

Harper,James 50 North Perry Street (765) 489-4463

HAMMOND

Fary,Ronald 1303 165th Street (219) 931-8733Kouklakis,Alexander 1303 165th Street (219) 931-8733Patel,Grishma 2720 169th Street (219) 845-2020Saks,Lisa 1303 165th Street (219) 931-8733

HARTFORD CITY

Ford,Craig 315 Huggins Drive (765) 348-2020Windsor,Laura 315 Huggins Drive (765) 348-2020Windsor,Richard 315 Huggins Drive (765) 348-2020

HAUBSTADT

Bigham,James 831 S 9th Ave (812) 615-0277Irvin,Jeffrey 831 S 9th Ave (812) 615-0277Russ,Heather 831 S 9th Ave (812) 615-0277

HEBRON

Kohn,Jennifer 630 Front Street (219) 996-2800Moses,Robert 630 Front Street (219) 996-2800Moses,RobertJoseph

630 Front Street (219) 996-2800

HIGHLAND

Balogh,Valerie 3737 45th Street (219) 924-6300Cedarstaff,Thomas 3737 45th Street (219) 924-6300Ferguson,James 8417 Kennedy

Avenue(219) 838-2020

Liggett,Roger 2940 HighwayAvenue

(219) 838-3297

HOBART

Curosh,Paul 411 North WisconsinStreet

(219) 942-8591

Frey,William 341 Main Street (219) 942-2811Prucy,David 411 North Wisconsin

Street(219) 942-8591

HUNTINGBURG

Springston,Ashley 303 East 13th Street (812) 683-4443Springston,J 303 East 13th Street (812) 683-4443Troutman,Timothy 303 East 13th Street (812) 683-4443

HUNTINGTON

Harman,Eric 400 North JeffersonStreet

(260) 356-4924

Host,Dan 518 North JeffersonStreet

(260) 356-4322

Hughes,Jeffrey 2855 NorthparkAvenue,#104

(260) 356-6422

INDIANAPOLIS

Abrams,Jerome 6920 ParkdalePlace,#206

(317) 293-1420

Abrams,John 1801 North SenateBoulevard,#620

(317) 926-6699

Abrams,John 6920 ParkdalePlace,#206

(317) 293-1420

Alig,Howard 5319 South EmersonAvenue

(317) 783-8700

Allen,Keely 6423 South EastStreet

(317) 782-8844

Allspaw,Elizabeth 54 MonumentCircle,#125

(317) 631-1200

Allspaw,Elizabeth 105 South RacewayRoad

(317) 273-8474

Anderson,Claude 4150 Lafayette Road (317) 280-0114Arnett,Julia 77 South Girls

School Road,#103(317) 486-9427

Avila,Judson 2902 West 86thStreet,#160

(317) 337-1233

Bailey,Jennifer 3902 East 82ndStreet

(317) 595-8855

Ball,Steven 982 North MitthoefferRoad

(317) 898-2835

Ball,Steven 2835 Lafayette Road (317) 926-0283Ball,Steven 3536 West 86th

Street(317) 876-9611

Ball,Steven 3636 South EastStreet

(317) 788-4243

VSP Network (Signature Plan)

Indiana Member Services 1-800-877-7195

* Currently not accepting new patients. This information is intended for reference only and is subject to change.It is the member’s responsibility to verify theprovider’s network participation prior to obtaining treatment. 5

Ball,Steven 7035 East 96thStreet

(317) 842-5000

Ball,Steven 7321 West 10thStreet

(317) 271-1319

Ball,Steven 8139 Pendleton Pike (317) 898-2020Barina,Carissa 6423 South East

Street(317) 782-8844

Barnhart,Blaine 2291 North MeridianStreet

(317) 926-5467

Barrett,Erik Scott 2020 West 86thStreet,#104

(317) 872-8772

Bernstein,Randall 2710 East 62ndStreet

(317) 257-4444

Bickel,Karen 2902 West 86thStreet,#160

(317) 337-1233

Birtwhistle,Timothy 3902 East 82ndStreet

(317) 595-8855

Box,David Franklin 6423 South EastStreet

(317) 782-8844

Brazus,Adam 8433 HarcourtRoad,#305

(317) 872-1121

Browning,Christopher

9650 EastWashington Street

(317) 890-5548

Burford,Lynn 10485 NorthPennsylvania Street

(317) 846-7600

Burich,Marilyn 3536 West 86thStreet

(317) 876-9611

Burich,Marilyn 7035 East 96thStreet

(317) 842-5000

Burich,Marilyn 7321 West 10thStreet

(317) 271-1319

Burich,Marilyn 8139 Pendleton Pike (317) 898-2020Burich,Marilyn 2835 Lafayette Road (317) 926-0283Burich,Marilyn 3636 South East

Street(317) 788-4243

Burich,Marilyn 982 North MitthoefferRoad

(317) 898-2835

Burns,Bruce 8170 OaklandonRoad

(317) 823-9985

Butorac,Geoff 8137 Castleton Road (317) 849-9921Cardis,Amy 50 South Meridian

Street,#103(317) 883-1122

Cardis,Amy 8936 SouthpointeDrive

(317) 883-1122

Christie,Colin 6845 Bluff Road,#26 (317) 534-5141Colon,Luis 901 East 86th Street (317) 844-5500Cooke,Aaron 3536 West 86th

Street(317) 876-9611

Cooke,Aaron 7035 East 96thStreet

(317) 842-5000

Cooke,Aaron 8139 Pendleton Pike (317) 898-2020Cooke,Aaron 982 North Mitthoeffer

Road(317) 898-2835

Cooke,Aaron 7321 West 10thStreet

(317) 271-1319

Cooke,Aaron 2835 Lafayette Road (317) 926-0283Cooper,Christina 860 East 86th

Street,#2(317) 848-7755

Corey,Natalie 54 MonumentCircle,#125

(317) 631-1200

Corey,Natalie 501 Indiana Avenue (317) 321-1470Corey,Natalie 8137 Castleton Road (317) 849-9921Crawley,Kenneth 7035 East 96th

Street(317) 842-5000

Crawley,Kenneth 8139 Pendleton Pike (317) 898-2020Crider,Benjamin 105 South Raceway

Road(317) 273-8474

Crider,Benjamin 6985 West 38thStreet Suite 100

(317) 243-0028

Crider,Benjamin 8137 Castleton Road (317) 849-9921Diegel,Robert 6372 Guilford

Avenue(317) 255-3333

Elmore,Jeremy 3719 South EastStreet

(317) 784-9611

Elrod,Melissa 10610 NorthPennsylvania Street

(317) 844-6269

Elrod,Melissa 5025 East 82ndStreet,#2300

(317) 598-2020

Elrod,Melissa 747 East CountyLine Road

(317) 887-7777

Engelberg,Stuart 5685 LafayetteRoad,#200

(317) 293-5424

Fechtman,James 2835 Lafayette Road (317) 926-0283Fechtman,James 3536 West 86th

Street(317) 876-9611

Fechtman,James 3636 South EastStreet

(317) 788-4243

Fechtman,James 7035 East 96thStreet

(317) 842-5000

Fechtman,James 7321 West 10thStreet

(317) 271-1319

Fechtman,James 8139 Pendleton Pike (317) 898-2020Fechtman,James 982 North Mitthoeffer

Road(317) 898-2835

Fisher,Arthur 350 East New YorkStreet,#250

(317) 634-8617

Fisher,Diana 5319 South EmersonAvenue

(317) 783-8700

Flora,Abbey Dawn 6735 South EmersonAvenue

(317) 783-1355

Ford,Craig 9002 North MeridianStreet

(317) 844-0919

Forniss,Kimberly 5525 GeorgetownRoad

(317) 297-1788

Frank,Joan 54 MonumentCircle,#125

(317) 631-1200

Frascella,Paul 4880 Century PlazaRoad,#140

(317) 328-0901

Frascella,Paul 2020 West 86thStreet,#200

(317) 871-5900

Fraser,Ami 2902 West 86thStreet,#160

(317) 337-1233

Fraser,Ami 6985 West 38thStreet Suite 100

(317) 243-0028

Fraser,Ami 804 Broad RippleAvenue

(317) 257-5421

Fraser,Ami 54 MonumentCircle,#125

(317) 631-1200

Frischmann,Cynthia 7440 NorthShadelandAvenue,#160

(317) 915-3937

Funk,Thomas 7301 NorthShadeland Avenue

(317) 842-3937

Funk,Thomas 6423 South EastStreet

(317) 782-8844

Giesel,John 2020 West 86thStreet,#200

(317) 871-5900

Godfrey,John 804 Broad RippleAvenue

(317) 257-5421

Gosch,AmandaJeanette

1160 West MichiganStreet

(317) 274-2020

Grove,Alicia 901 East 86th Street (317) 844-5500Habig,Mark 4900 South Arlington

Avenue(317) 782-4000

Hartill,James 7035 East 96thStreet

(317) 842-5000

Hartill,James 8139 Pendleton Pike (317) 898-2020Hartill,James 2835 Lafayette Road (317) 926-0283Hartill,James 3536 West 86th

Street(317) 876-9611

Hartill,James 3636 South EastStreet

(317) 788-4243

Hartill,James 7321 West 10thStreet

(317) 271-1319

Hartill,James 982 North MitthoefferRoad

(317) 898-2835

Hartzell,Richard 1429 Shelby Street (317) 632-9220Hassan,Amal 7321 West 10th

Street(317) 271-1319

Hassan,Amal 3536 West 86thStreet

(317) 876-9611

Hassan,Amal 3636 South EastStreet

(317) 788-4243

Hassan,Amal 8139 Pendleton Pike (317) 898-2020Hasty,Scott 804 Broad Ripple

Avenue(317) 257-5421

Hedges,Stephen 3719 South EastStreet

(317) 784-9611

Helton,Nicole 6326 Rucker Road (317) 259-4234Helton,Nicole 3536 West 86th

Street(317) 876-9611

Helton,Nicole 8139 Pendleton Pike (317) 898-2020Helton,Nicole 7035 East 96th

Street(317) 842-5000

Hemingway,Lawrence

9302 North MeridianStreet,#150

(317) 848-8879

Herkert,Daniel 6904 South EastStreet

(317) 784-5665

Heverly,Vonda 4200 South EastStreet

(317) 781-1061

Heverly,Vonda 9419 EastWashington Street

(317) 895-9890

Hill,Stephen 8230 Rockville Road (317) 273-9000Holland,Dolores 9745 Fall Creek

Road,#400(317) 578-0202

Huffman,Tim 4900 South ArlingtonAvenue

(317) 782-4000

Hufnagel,Stacy 8936 SouthpointeDrive

(317) 883-1122

Hufnagel,Stacy 50 South MeridianStreet,#103

(317) 883-1122

Hulsey,Donald 5025 East 82ndStreet,#2300

(317) 598-2020

Hulsey,Donald 747 East CountyLine Road

(317) 887-7777

Imler,Eustacia 6985 West 38thStreet Suite 100

(317) 243-0028

Jahnke,Samantha 7321 West 10thStreet

(317) 271-1319

Jeffirs,Michael 9650 EastWashington Street

(317) 890-5548

Jennings,Gloria 1060 East 86thStreet,#63

(317) 848-1112

Jones,April 54 MonumentCircle,#125

(317) 631-1200

Jones,Clay 1801 North SenateBoulevard,#620

(317) 926-6699

Jones,Clay 6920 ParkdalePlace,#206

(317) 293-1420

Kauffman,Chad 1400 North RitterAvenue,#281

(317) 357-8663

Kauffman,Chad 7250 ClearvistaDrive,#180

(317) 594-9410

Kautzman,Richard 3536 West 86thStreet

(317) 876-9611

Kautzman,Richard 8139 Pendleton Pike (317) 898-2020Kautzman,Richard 982 North Mitthoeffer

Road(317) 898-2835

Kautzman,Richard 1400 North RitterAvenue,#281

(317) 357-8663

Kautzman,Richard 7250 ClearvistaDrive,#180

(317) 594-9410

Keeling,William 6423 South EastStreet

(317) 782-8844

Kimmell,Stephen 8139 Pendleton Pike (317) 898-2020Kimmell,Stephen 5319 South Emerson

Avenue(317) 783-8700

Knotts,Marjorie 6326 Rucker Road (317) 259-4234Koval,Larry 2902 West 86th

Street,#160(317) 337-1233

Koval,Larry 6985 West 38thStreet Suite 100

(317) 243-0028

Koval,Larry 8137 Castleton Road (317) 849-9921Landaw,David 860 East 86th

Street,#2(317) 848-7755

Lanter,Earl 10610 NorthPennsylvania Street

(317) 844-6269

Lanter,Earl 747 East CountyLine Road

(317) 887-7777

Latona,John 1400 North RitterAvenue,#281

(317) 357-8663

Latona,John 7250 ClearvistaDrive,#180

(317) 594-9410

Lauth,Elizabeth 10610 NorthPennsylvania Street

(317) 844-6269

Lauth,Elizabeth 5025 East 82ndStreet,#2300

(317) 598-2020

Lauth,Elizabeth 747 East CountyLine Road

(317) 887-7777

Leburg,Elizabeth 105 South RacewayRoad

(317) 273-8474

Leburg,Elizabeth 2902 West 86thStreet,#160

(317) 337-1233

Leburg,Elizabeth 8137 Castleton Road (317) 849-9921Lentz,William 10043 East

Washington Street(317) 897-9819

Lewton,Holly AnnChordas

6905 East 96thStreet,#1100

(317) 576-9809

Liechty,Jenna 9650 EastWashington Street

(317) 890-5548

Lloyd,Bettye Jo 1801 North SenateBoulevard,#620

(317) 926-6699

Lloyd,Bettye Jo 6920 ParkdalePlace,#206

(317) 293-1420

Long,Kuumba 5319 South EmersonAvenue

(317) 783-8700

Lopez,Katherine 3902 East 82ndStreet

(317) 595-8855

Lopez,Perry 3902 East 82ndStreet

(317) 595-8855

Mann,Deborah 6920 ParkdalePlace,#206

(317) 293-1420

Marshall,Jeffrey 5606 EastWashington Street

(317) 357-8385

Marshall,Jeffrey 1990 North ArlingtonAvenue

(317) 357-8534

Massela,Tiffany 9002 North MeridianStreet

(317) 844-0919

Mccormick,Charles 6423 South EastStreet

(317) 782-8844

Mccoy,Michael 982 North MitthoefferRoad

(317) 898-2835

Mccoy,Michael 3536 West 86thStreet

(317) 876-9611

Mccoy,Michael 7035 East 96thStreet

(317) 842-5000

Mccoy,Michael 8139 Pendleton Pike (317) 898-2020Mccoy,Michael 7321 West 10th

Street(317) 271-1319

Mccoy,Michael 3636 South EastStreet

(317) 788-4243

Mccoy,Michael 2835 Lafayette Road (317) 926-0283Mckenna Ii,John 1511 North Post

Road(317) 899-1017

Miller,Anne 7301 NorthShadeland Avenue

(317) 842-3937

Moody,Penn 50 South MeridianStreet,#103

(317) 883-1122

Moody,Penn 8936 SouthpointeDrive

(317) 883-1122

Muskat,Jerome 7301 NorthShadeland Avenue

(317) 842-3937

Noreika,Alma 804 Broad RippleAvenue

(317) 257-5421

Nowak,Allison 5025 East 82ndStreet,#2300

(317) 598-2020

Null,Terry 9650 EastWashington Street

(317) 890-5548

Ossip,Gregg 804 Broad RippleAvenue

(317) 257-5421

Park,Heidi Marie 3536 West 86thStreet

(317) 876-9611

VSP Network (Signature Plan)

Indiana Member Services 1-800-877-7195

* Currently not accepting new patients. This information is intended for reference only and is subject to change.It is the member’s responsibility to verify theprovider’s network participation prior to obtaining treatment. 6

Park,Heidi Marie 982 North MitthoefferRoad

(317) 898-2835

Park,Heidi Marie 7035 East 96thStreet

(317) 842-5000

Park,Heidi Marie 8139 Pendleton Pike (317) 898-2020Park,Heidi Marie 2835 Lafayette Road (317) 926-0283Payne,Danielle 7035 East 96th

Street(317) 842-5000

Potter,Austin 982 North MitthoefferRoad

(317) 898-2835

Potter,Austin 8139 Pendleton Pike (317) 898-2020Prince,Irving 150 East 86th Street (317) 846-9228Pruitt,Stacey 1400 North Ritter

Avenue,#281(317) 357-8663

Pruitt,Stacey 7250 ClearvistaDrive,#180

(317) 594-9410

Rader,Nicholas 6423 South EastStreet

(317) 782-8844

Reckley,Kevin 5611 South MeridianStreet

(317) 781-9090

Rhoades,Gail 860 East 86thStreet,#2

(317) 848-7755

Rich,Heidi 4900 South ArlingtonAvenue

(317) 782-4000

Robinson,Daniel 2020 West 86thStreet,#200

(317) 871-5900

Robinson,Daniel 4880 Century PlazaRoad,#140

(317) 328-0901

Robinson,Rhonda 6985 West 38thStreet Suite 100

(317) 243-0028

Rothbaum,Michael 6920 ParkdalePlace,#206

(317) 293-1420

Sch Of Opt,Ind Univ 501 Indiana Avenue (317) 321-1470Schmutzler,John 2835 Lafayette Road (317) 926-0283Schmutzler,John 3636 South East

Street(317) 788-4243

Schmutzler,John 982 North MitthoefferRoad

(317) 898-2835

Seay,David 3636 South EastStreet

(317) 788-4243

Seay,David 982 North MitthoefferRoad

(317) 898-2835

Seay,David 2835 Lafayette Road (317) 926-0283Seay,David 3536 West 86th

Street(317) 876-9611

Seay Ii,Robert 3536 West 86thStreet

(317) 876-9611

Seay Ii,Robert 3636 South EastStreet

(317) 788-4243

Seay Ii,Robert 7035 East 96thStreet

(317) 842-5000

Seay Ii,Robert 982 North MitthoefferRoad

(317) 898-2835

Seay Ii,Robert 2835 Lafayette Road (317) 926-0283Seay Ii,Robert 7321 West 10th

Street(317) 271-1319

Seay Ii,Robert 8139 Pendleton Pike (317) 898-2020Shackle,John 5606 East

Washington Street(317) 357-8385

Shaffer,Philip 1160 West MichiganStreet

(317) 274-2020

Shah,Anjali 54 MonumentCircle,#125

(317) 631-1200

Shah,Shilpa 6735 South EmersonAvenue

(317) 783-1355

Silke,Terry 8137 Castleton Road (317) 849-9921Smith,Greg 804 Broad Ripple

Avenue(317) 257-5421

Snyder,Karina 901 East 86th Street (317) 844-5500Snyder,Mark 1400 North Ritter

Avenue,#281(317) 357-8663

Snyder,Mark 7250 ClearvistaDrive,#180

(317) 594-9410

Stovall,Nancy Carol 3536 West 86thStreet

(317) 876-9611

Stovall,Nancy Carol 3636 South EastStreet

(317) 788-4243

Stovall,Nancy Carol 7035 East 96thStreet

(317) 842-5000

Stovall,Nancy Carol 982 North MitthoefferRoad

(317) 898-2835

Stovall,Nancy Carol 8139 Pendleton Pike (317) 898-2020Stovall,Nancy Carol 2835 Lafayette Road (317) 926-0283Stovall,Nancy Carol 7321 West 10th

Street(317) 271-1319

Stumpf,Charles 8137 Castleton Road (317) 849-9921Swift,Brian 8936 Southpointe

Drive(317) 883-1122

Trager,Melinda Jo 2291 North MeridianStreet

(317) 926-5467

Turner,Robin 4200 South EastStreet

(317) 781-1061

Turner,Robin 9419 EastWashington Street

(317) 895-9890

Turner Sr,Antonio 3536 West 86thStreet

(317) 876-9611

Turner Sr,Antonio 7035 East 96thStreet

(317) 842-5000

Turner Sr,Antonio 1511 North PostRoad

(317) 899-1017

Venezia,Linda 2902 West 86thStreet,#160

(317) 337-1233

Venezia,Linda 6985 West 38thStreet Suite 100

(317) 243-0028

Walborn,Brian 3902 East 82ndStreet

(317) 595-8855

Walrath,Judy 2835 Lafayette Road (317) 926-0283Walrath,Judy 3536 West 86th

Street(317) 876-9611

Walrath,Judy 3636 South EastStreet

(317) 788-4243

Walrath,Judy 7035 East 96thStreet

(317) 842-5000

Walrath,Judy 7321 West 10thStreet

(317) 271-1319

Walrath,Judy 8139 Pendleton Pike (317) 898-2020Walrath,Judy 982 North Mitthoeffer

Road(317) 898-2835

Warner,Aaron 4200 South EastStreet

(317) 781-1061

Warner,Aaron 9419 EastWashington Street

(317) 895-9890

Washington,Phelgar 3737 North MeridianStreet,#200

(317) 925-2661

Weibert,Julie 54 MonumentCircle,#125

(317) 631-1200

Whitson,William 901 East 86th Street (317) 844-5500Wilson,James 5025 East 82nd

Street,#2300(317) 598-2020

Wilson,James 10610 NorthPennsylvania Street

(317) 844-6269

Wilson,James 747 East CountyLine Road

(317) 887-7777

Windsor,Laura 9002 North MeridianStreet

(317) 844-0919

Windsor,Richard 9002 North MeridianStreet

(317) 844-0919

Wolf,Abby 54 MonumentCircle,#125

(317) 631-1200

Wolf,Abby 105 South RacewayRoad

(317) 273-8474

Wolf,Abby 8137 Castleton Road (317) 849-9921Woodall,Nicholas 6423 South East

Street(317) 782-8844

Yolles,Elliott 2020 West 86thStreet,#104

(317) 872-8772

JASPER

Buechler,Thomas 501 Riverside Place (812) 482-6010Englert,Judith 1950 Saint Charles

Street,#1(812) 482-6424

Flannagan,Duane 1950 Saint CharlesStreet,#1

(812) 482-6424

Gordon,Gregory 471 U.S. 231 (812) 634-9887Gramelspacher,Craig 115 East 9th Street (812) 482-1990Gramelspacher,Curt 115 East 9th Street (812) 482-1990Gunderson,Kimberly 255 West 36th

Street,#240(812) 481-2100

Gunderson,Todd 255 West 36thStreet,#240

(812) 481-2100

Otte,Nancy 501 Riverside Place (812) 482-6010Springston,Ashley 515 West 6th Street (812) 634-0000Springston,J 515 West 6th Street (812) 634-0000Troutman,Timothy 515 West 6th Street (812) 634-0000

JEFFERSONVILLE

Black,Bradley 302 West 14thStreet,#100

(812) 284-0660

Coker,Troy 432 Wall Street (812) 283-7492Dankovich,Michael 302 West 14th

Street,#100(812) 284-0660

Hall,Carolyn 302 West 14thStreet,#100

(812) 284-0660

Howell,Steven 302 West 14thStreet,#100

(812) 284-0660

Miller,Stephen 1820 East 10thStreet

(812) 282-6311

Pourheydarian,Sara 432 Wall Street (812) 283-7492Pugh,Kristopher 302 West 14th

Street,#100(812) 284-0660

KENDALLVILLE

Geiger,Jillian 117 West RushStreet

(260) 347-3458

Lichlyter,Craig 117 West RushStreet

(260) 347-3458

Roush,Alan 117 West RushStreet

(260) 347-3458

Roush,Elizabeth 117 West RushStreet

(260) 347-3458

Will,Matthew 117 West RushStreet

(260) 347-3458

KNIGHTSTOWN

Shaneyfelt,Cornelius 12 South JeffersonStreet

(765) 345-5405

KNOX

Buck,Scott 1001 EdgewoodDrive,#5

(574) 772-2012

Carlson,Richard 1001 EdgewoodDrive,#5

(574) 772-2012

Densborn,Gregory 1001 EdgewoodDrive,#5

(574) 772-2012

Morlan,Thomas 1001 EdgewoodDrive,#5

(574) 772-2012

Weidow,Ricky 1001 EdgewoodDrive,#5

(574) 772-2012

KOKOMO

Ball,Steven 1164 S 17th St (765) 457-5384Bickel,Karen 1919 East Markland

Avenue(765) 459-8182

Burich,Marilyn 1164 S 17th St (765) 457-5384Burkhart,Andrew 511 West Lincoln

Road(765) 453-2907

Caine,Jennifer 1919 East MarklandAvenue

(765) 459-8182

Calvin,Helen 511 West LincolnRoad

(765) 453-2907

De Cleene,Catherine 608 East BoulevardStreet

(765) 453-5005

De Cleene Iii,Frank 608 East BoulevardStreet

(765) 453-5005

Dinn,Robert 3433 SouthLafountain Street

(765) 453-3777

Fawcett,John 608 East BoulevardStreet

(765) 453-5005

Fechtman,James 1164 S 17th St (765) 457-5384Fewell,Michael 2315 West Jefferson

Street(765) 455-0404

Hartill,James 1164 S 17th St (765) 457-5384Hubbard,Gregory 1808 East Markland

Avenue(765) 457-8900

James,Christopher 300 West WalnutStreet

(765) 459-5137

Kerby,Christopher 2315 West JeffersonStreet

(765) 455-0404

Leburg,Elizabeth 1919 East MarklandAvenue

(765) 459-8182

Mccoy,Michael 1164 S 17th St (765) 457-5384Mink,Barbara 1164 S 17th St (765) 457-5384Seay Ii,Robert 1164 S 17th St (765) 457-5384Stovall,Nancy Carol 1164 S 17th St (765) 457-5384Swindler,Shaun 3433 South

Lafountain Street(765) 453-3777

Trump,Nathan 1601 West LincolnRoad

(765) 453-5696

Unger,Jennifer 2705 South BerkleyRoad

(765) 453-2200

Unger,Scott 2705 South BerkleyRoad

(765) 453-2200

Venezia,John 1919 East MarklandAvenue

(765) 459-8182

Walrath,Judy 1164 S 17th St (765) 457-5384Weber Iii,Peter 1601 West Lincoln

Road(765) 453-5696

Wild,Michael 3433 SouthLafountain Street

(765) 453-3777

Worth,Kevin 300 West WalnutStreet

(765) 459-5137

LA PORTE

Antos,Kyle 301 J Street (219) 362-8923Bohnert,Dawn 106 Legacy Plaza

West(219) 362-2685

EberlinNagel,Jennifer

301 J Street (219) 362-8923

Hoover,Nathan 301 J Street (219) 362-8923Komasinski,Michael 106 Legacy Plaza

West(219) 362-2685

Miller,Dennis 604 I Street (219) 326-8855Offerle,Kristina 604 I Street (219) 326-8855Szuba,Shannon 604 I Street (219) 326-8855

LAGRANGE

Dunlap,Craig 820 North DetroitStreet

(260) 463-8868

Weidow,Ricky 201 West WayneStreet

(260) 463-3421

LAFAYETTE

Alfred,Angela 3526 Osborn Ln SteF

(765) 477-2000

Baker,Matthew 14 ProfessionalCourt

(765) 447-5083

Bickel,Karen 14 ProfessionalCourt

(765) 447-5083

Booth,Marc 1410 Union Street (765) 423-2977Butorac,Geoff 24 North Earl

Avenue(765) 447-0880

Caine,Jennifer 14 ProfessionalCourt

(765) 447-5083

Coalter,John 14 ProfessionalCourt

(765) 447-5083

Coalter,John 24 North EarlAvenue

(765) 447-0880

VSP Network (Signature Plan)

Indiana Member Services 1-800-877-7195

* Currently not accepting new patients. This information is intended for reference only and is subject to change.It is the member’s responsibility to verify theprovider’s network participation prior to obtaining treatment. 7

Cutler,MarkGonzales

1401 Union Street (765) 742-1955

Evans,Matthew 3829 Union Street (765) 447-4951Evans,Matthew 3526 Osborn Ln Ste

F(765) 477-2000

Faunce,Randall 24 North EarlAvenue

(765) 447-0880

Garmon,Allison 14 ProfessionalCourt

(765) 447-5083

Gillam,Duane 3711 Rome Drive (765) 448-2711Giltner,Ashley 3829 Union Street (765) 447-4951Giltner,Ashley 3526 Osborn Ln Ste

F(765) 477-2000

Hallum,Lauren 24 North EarlAvenue

(765) 447-0880

Hallum,Lauren 14 ProfessionalCourt

(765) 447-5083

Jones,April 14 ProfessionalCourt

(765) 447-5083

Kirchner,Jeffrey 2200 ElmwoodAvenue

(765) 446-2814

Leburg,Elizabeth 14 ProfessionalCourt

(765) 447-5083

Loew,Robert 2200 ElmwoodAvenue

(765) 446-2814

Mather,Steven 1401 Union Street (765) 742-1955Mattingly,Thomas 1410 Union Street (765) 423-2977Mcmillin,Lindy 3526 Osborn Ln Ste

F(765) 477-2000

Mcmillin,Lindy 3829 Union Street (765) 447-4951MikusevichFinney,Christine

3829 Union Street (765) 447-4951

MikusevichFinney,Christine

3526 Osborn Ln SteF

(765) 477-2000

Miller,Scott 3888 Union Street (765) 588-4285Norman,Gregory 3888 Union Street (765) 588-4285Pass,Jeffery 2200 Elmwood

Avenue(765) 446-2814

Piggott,Loretta 3829 Union Street (765) 447-4951Shinneman,Lawrence

14 ProfessionalCourt

(765) 447-5083

Strickler,Travis 3888 Union Street (765) 588-4285Williams,Mark Alan 14 Professional

Court(765) 447-5083

Yocum,Jeffrey 637 Ferry Street (765) 742-2930

LAWRENCEBURG

Hornberger,Samantha

24173 State LineRoad,#200

(812) 637-1300

Richter,Dennis 403 Walnut Street (812) 537-2020Richter,Don 403 Walnut Street (812) 537-2020

LEBANON

Boggs,Lacy Ann 112 WestWashingtonStreet,#101

(765) 484-8247

Honan,Paul 1720 North LebanonStreet

(765) 482-1954

Kline,Robert 1111 North LebanonStreet

(765) 482-2066

Prather,Christopher 1202 North LebanonStreet

(765) 482-1420

LEO

Hogue,Andrew 10529 Hosler Road (260) 627-2669

LIGONIER

Geiger,Jillian 809 LincolnwaySouth

(260) 894-3912

Lichlyter,Craig 809 LincolnwaySouth

(260) 894-3912

Roush,Alan 809 LincolnwaySouth

(260) 894-3912

Roush,Elizabeth 809 LincolnwaySouth

(260) 894-3912

Will,Matthew 809 LincolnwaySouth

(260) 894-3912

LINTON

Atchison,Alison 1057 Price Road (812) 847-8615Cohen,Harold 1057 Price Road (812) 847-8615Hale,Richard 88 1st Street

Southeast(812) 847-4439

Tewel Jr,Kenneth 1057 Price Road (812) 847-8615

LOGANSPORT

Brandstatter,Emily 2500 East MarketStreet

(574) 753-3583

Brown,Dianne 412 North Street (574) 722-6600Densborn,Gregory 824 East Broadway (574) 737-8313Dinn,Robert 333 Mall Road (574) 722-1797Donaldson,Karisa 444 Mall Road (574) 722-3937Fawcett,William 2500 East Market

Street(574) 753-3583

Garner,Adam 2500 East MarketStreet

(574) 753-3583

James,Christopher 2500 East MarketStreet

(574) 753-3583

Lawrence,Kenneth 216 East MarketStreet

(574) 753-2559

Price,Herbert 444 Mall Road (574) 722-3937Shepler,Kathleen 444 Mall Road (574) 722-3937Swindler,Shaun 333 Mall Road (574) 722-1797Wild,Michael 333 Mall Road (574) 722-1797

LOOGOOTEE

Bauer,Rick 109 West MainStreet

(812) 295-3163

LOWELL

Kohn,Jennifer 117 Deanna Drive (219) 696-8077Moses,Robert 117 Deanna Drive (219) 696-8077Moses,RobertJoseph

117 Deanna Drive (219) 696-8077

LYONS

Steward,James Brian 195 West BroadStreet

(812) 659-2288

Steward,Lisa Marie 195 West BroadStreet

(812) 659-2288

MADISON

Eagleson,John 441 Green Road (812) 273-2020Kirkpatrick,Robert 2580 Michigan

Road,#2(812) 265-6222

Lisle,James 2580 MichiganRoad,#2

(812) 265-6222

Stuart,Phillip 441 Green Road (812) 273-2020Thomas,Michael 441 Green Road (812) 273-2020

MARION

Culver,Lindsay 1400 North BaldwinAvenue

(765) 664-6148

Dale,Eric 506 SouthWashington Street

(765) 662-6648

Diedrich,Daniel 1400 North BaldwinAvenue

(765) 664-6148

Diedrich,Daniel 3510 South WesternAvenue

(765) 662-6594

Fettig,Todd 711 North RiverDrive

(765) 664-9637

Frecker,Melvin 1402 West SpencerAvenue

(765) 664-7647

Garner,Adam 3510 South WesternAvenue

(765) 662-6594

Garner,Lerin 3510 South WesternAvenue

(765) 662-6594

Hutchinson,Robert 506 SouthWashington Street

(765) 662-6648

Kerby,Christopher 711 North RiverDrive

(765) 664-9637

Robbins,Thompson 610 West 38th Street (765) 674-7525Trump,Bruce 1400 North Baldwin

Avenue(765) 664-6148

Vangets,Michelle 3510 South WesternAvenue

(765) 662-6594

Zirkle,Michael 610 West 38th Street (765) 674-7525

MARTINSVILLE

Cunningham,Aaron 219 East WashingtonStreet

(765) 342-6654

Cunningham,Kelly 219 East WashingtonStreet

(765) 342-6654

Hunt,Shana 990 South MarionStreet

(765) 342-5497

Moody,Penn 990 South MarionStreet

(765) 342-5497

O Neal,Michael 1089 East MorganStreet

(765) 342-2050

MCCORDSVILLE

Potter,Austin 5953 West Broadway (317) 747-9263

MERRILLVILLE

Baker,Matthew 1601 East 80thAvenue

(219) 756-1000

Bonilla,Virginia 70 East 68th Place (219) 769-2606Caine,Jennifer 1601 East 80th

Avenue(219) 756-1000

Czaja,John 8100 Broadway (219) 769-2020Fary,Ronald 2294 West Lincoln

Highway(219) 756-1700

Feitz,Ellyn 1507 West 81stAvenue

(219) 736-6875

Fluder,Barbara 5061 East LincolnHighway

(219) 947-8100

Kohn,Jennifer 70 East 68th Place (219) 769-2606Kouklakis,Alexander 2294 West Lincoln

Highway(219) 756-1700

Mcgillen,Timothy 279 West 80th Place (219) 738-2180Moses,Robert 70 East 68th Place (219) 769-2606Moses,RobertJoseph

70 East 68th Place (219) 769-2606

Petkus,Amy 1601 East 80thAvenue

(219) 756-1000

Roach,Michael 1601 East 80thAvenue

(219) 756-1000

Saks,Lisa 2294 West LincolnHighway

(219) 756-1700

Shinneman,Lawrence

1601 East 80thAvenue

(219) 756-1000

Watkins,Neil 8518 Broadway (219) 769-3555Yates,Calvin 141 East 61st

Avenue(219) 981-8890

MICHIGAN CITY

Alizai,Adeela 1225 EastCoolspring Avenue

(219) 873-2977

Baker,Matthew 3701 Franklin Street (219) 872-8844Bassett,Michael 1225 East

Coolspring Avenue(219) 873-2977

Bausback,Henry 1225 EastCoolspring Avenue

(219) 873-2977

Caine,Jennifer 3701 Franklin Street (219) 872-8844Coalter,John 3701 Franklin Street (219) 872-8844EberlinNagel,Jennifer

2317 Franklin Street (219) 874-3211

Garmon,Allison 3701 Franklin Street (219) 872-8844Hoover,Nathan 2317 Franklin Street (219) 874-3211Houck,Richard 350 Commerce

Square(219) 872-4363

Kroczek,Stephen 1225 EastCoolspring Avenue

(219) 873-2977

Petkus,Amy 3701 Franklin Street (219) 872-8844Shinneman,Lawrence

3701 Franklin Street (219) 872-8844

MIDDLEBURY

Cripe,David 212 West WarrenStreet

(574) 825-7434

Fenwick,David 424 North MainStreet,#4

(574) 825-3818

Stephens,Bryan 212 West WarrenStreet

(574) 825-7434

Stickel,James 212 West WarrenStreet

(574) 825-7434

MISHAWAKA

Albert,Patrick 5327 Grape Road (574) 277-8121Anderson,Andrew 230 East Day

Road,#100(574) 271-3939

Beisel,Lynda 230 East DayRoad,#100

(574) 271-3939

Blankenbeker,Timothy

5327 Grape Road (574) 277-8121

Coalter,John 5327 Grape Road (574) 277-8121Conner,Joshua 230 East Day

Road,#100(574) 271-3939

Danahey,Kevin 230 East DayRoad,#100

(574) 271-3939

Faust,Brian 328 South MainStreet

(574) 256-5606

Garmon,Allison 5327 Grape Road (574) 277-8121Kintner,Lindsey 517 Lincolnway East (574) 255-3188Nevel,Bernard 230 East Day

Road,#100(574) 271-3939

Rhinehart,Kirstin 517 Lincolnway East (574) 255-3188Roach,Michael 5327 Grape Road (574) 277-8121Shearer,Charles 517 Lincolnway East (574) 255-3188Sonnenburg,David 5327 Grape Road (574) 277-8121Swartz,Kristina 5323 North Main

Street(574) 273-2727

Weiss,Richard 230 East DayRoad,#100

(574) 271-3939

Wise,Pamela 230 East DayRoad,#100

(574) 271-3939

MITCHELL

Short,Zachary 725 West MainStreet

(812) 849-4555

Smoot,Michelle 527 West MainStreet

(812) 849-4385

MONTICELLO

Armstrong,Randall 1173 West BroadwayStreet

(574) 583-5531

Corbin,John 501 West BroadwayStreet

(574) 583-9311

Kyser,Michelle 501 West BroadwayStreet

(574) 583-9311

MOORESVILLE

Gosch,AmandaJeanette

1001 HadleyRoad,#103

(317) 274-2020

Miller,Michael 258 East High Street (317) 831-0725Wright,Dawn 401 South Indiana

Street(317) 831-4071

Wright,Phillip 401 South IndianaStreet

(317) 831-4071

MOUNT VERNON

Appel,Sarah 230 West 3rd Street (812) 838-4388Keitel,Darin 1900 West 4th

Street,#3(812) 838-5526

VSP Network (Signature Plan)

Indiana Member Services 1-800-877-7195

* Currently not accepting new patients. This information is intended for reference only and is subject to change.It is the member’s responsibility to verify theprovider’s network participation prior to obtaining treatment. 8

MUNCIE

Ashman,John 4801 West BethelAvenue

(765) 288-7744

Ashman,Wynde 4801 West BethelAvenue

(765) 288-7744

Ball,Steven 1511 WestMcGalliard Road

(765) 289-8005

Burich,Marilyn 1511 WestMcGalliard Road

(765) 289-8005

Fechtman,James 1511 WestMcGalliard Road

(765) 289-8005

Gard,Jeremy 4801 West BethelAvenue

(765) 288-7744

Harkin,Matthew 2304 North WheelingAvenue

(765) 288-5301

Hartill,James 1511 WestMcGalliard Road

(765) 289-8005

Horn,Wade 3303 East MemorialDrive

(765) 282-2020

Hoyle Jr,Ronald 3300 West PurdueAvenue

(765) 287-9579

Jahnke,Samantha 1511 WestMcGalliard Road

(765) 289-8005

Jones,Jackie 1511 WestMcGalliard Road

(765) 289-8005

Kimmell,Stephen 2304 North WheelingAvenue

(765) 288-5301

Makris,Vasilis 3300 West PurdueAvenue

(765) 287-9579

Matthews,Michael 3303 East MemorialDrive

(765) 282-2020

Mccoy,Michael 1511 WestMcGalliard Road

(765) 289-8005

Nowakowski,Karon 4801 West BethelAvenue

(765) 288-7744

Osborne,Christy 119 East CharlesStreet

(765) 289-1193

Seay Ii,Robert 1511 WestMcGalliard Road

(765) 289-8005

Stovall,Nancy Carol 1511 WestMcGalliard Road

(765) 289-8005

Tiwari,Ajit 3700 NorthEverbrook Lane

(765) 281-1181

Walrath,Judy 1511 WestMcGalliard Road

(765) 289-8005

Wilson,David 4801 West BethelAvenue

(765) 288-7744

MUNSTER

Anderson,Bradley 7905 CalumetAvenue

(219) 836-5800

Benavente,Jorge 9175 CalumetAvenue

(219) 836-7800

Brooks,Jason 761 45thAvenue,#101

(219) 922-6226

Gailmard,Neil 630 Ridge Road (219) 836-1738Gailmard,Susan 630 Ridge Road (219) 836-1738Gordon,Alan 1650 45th Avenue (219) 924-8012Lee,Suzanne 761 45th

Avenue,#101(219) 922-6226

Lewyckyj,Myron 701 Superior Avenue (219) 934-0150Menon,Nandini 701 Superior Avenue (219) 934-0150Millard,Michelle 630 Ridge Road (219) 836-1738Moles,Katharine 630 Ridge Road (219) 836-1738Nguyen,Binh 761 45th

Avenue,#101(219) 922-6226

Peach,Richard 800 MacarthurBoulevard,#10

(219) 836-5326

Perez,Gregory 9175 CalumetAvenue

(219) 836-7800

Schilling,Nikole 701 Superior Avenue (219) 934-0150Sprehe,Amanda 630 Ridge Road (219) 836-1738Taglia,Daniel 701 Superior Avenue (219) 934-0150Wolff,Larry 701 Superior Avenue (219) 934-0150Young,Fredric 1646 West 45th

Avenue(219) 924-3700

NAPPANEE

Geiger,Jillian 1752 East MarketStreet

(574) 773-4341

Minnich,Darren 1752 East MarketStreet

(574) 773-4341

Oglesbee,Nathanael 207 East MarketStreet

(574) 773-4732

NASHVILLE

Pickel,Merle 50 Willow Street (812) 988-4937Wagers,Jessica 50 Willow Street (812) 988-4937

NEW ALBANY

Amstutz,Grant 5120 CharlestownRoad,#4

(812) 944-9944

Braaten,Marcus 3602 NorthgateCourt,#29

(812) 944-2021

Conrad,Tim 1919 StateStreet,#210

(812) 944-6063

Dankovich,Michael 1919 StateStreet,#140

(812) 948-4680

Gettelfinger,Michael 1501 State Street (812) 945-1162Hall,Carolyn 1919 State

Street,#140(812) 948-4680

Hickey,Carol Lynn 4326 CharlestownRoad,#2

(812) 945-0023

Jordan,Curtis 1919 StateStreet,#140

(812) 948-4680

Nolan,Ronald 1819 State Street (812) 944-6428Pugh,Kristopher 1919 State

Street,#140(812) 948-4680

Reynolds,Jennifer 4326 CharlestownRoad,#2

(812) 945-0023

Todd,Rebekah 4326 CharlestownRoad,#2

(812) 945-0023

NEW CARLISLE

Morton,Tom 8984 U.S. 20 (574) 654-8806Offerle,Kristina 8984 U.S. 20 (574) 654-8806RobbinsWinters,Linnea

8984 U.S. 20 (574) 654-8806

NEW CASTLE

Ball,Steven 519 South MemorialDrive

(765) 521-3400

Burich,Marilyn 519 South MemorialDrive

(765) 521-3400

Crawley,Kenneth 519 South MemorialDrive

(765) 521-3400

Hartill,James 519 South MemorialDrive

(765) 521-3400

Helton,Nicole 519 South MemorialDrive

(765) 521-3400

Horn,Wade 1817 Bundy Avenue (765) 529-2405Jones,April 1500 Washington

Street(765) 529-9364

Lamberson,Jerry 375 Trojan Lane (765) 521-0675Malott,Lance 375 Trojan Lane (765) 521-0675Mccoy,Michael 519 South Memorial

Drive(765) 521-3400

Seay Ii,Robert 519 South MemorialDrive

(765) 521-3400

Sparks,Monte 519 South MemorialDrive

(765) 521-3400

Stovall,Nancy Carol 519 South MemorialDrive

(765) 521-3400

Walrath,Judy 519 South MemorialDrive

(765) 521-3400

NEW HAVEN

Baker,Thomas 1318 Minnich Road (260) 749-0407Hockemeyer,Troy 10848 Rose

Avenue,#1(260) 493-1505

Hoffman,Andrew 10848 RoseAvenue,#1

(260) 493-1505

NEW PALESTINE

Habig,Mark 4037 Arbor Lane (317) 861-4100Huffman,Tim 4037 Arbor Lane (317) 861-4100

NEW SALISBURY

BanetWalton,RebeccaMae

8010 Oak Park Road (812) 366-3147

Fowler,Jeremy 8010 Oak Park Road (812) 366-3147Masden,Timothy 8010 Oak Park Road (812) 366-3147

NEWBURGH

Gilles,John 8688 County Road406 South

(812) 853-8191

Loehr,Thomas 4233 GatewayBoulevard

(812) 474-7116

Pastora,Reinaldo 4233 GatewayBoulevard

(812) 474-7116

Tharp,Andrew 4233 GatewayBoulevard

(812) 474-7116

Weyer,Eric 4233 GatewayBoulevard

(812) 474-7116

Weyer,Jonathan 4233 GatewayBoulevard

(812) 474-7116

Woods,Larry 4233 GatewayBoulevard

(812) 474-7116

NOBLESVILLE

Cmejla,Andrea 160 Lakeview Drive (317) 773-4482Ewers,Ganhan 17151 Mercantile

Boulevard(317) 773-2300

Fisher,Diana 341 LoganStreet,#100

(317) 773-5555

Garner,Lerin 341 LoganStreet,#100

(317) 773-5555

Hoying,Jennifer 160 Lakeview Drive (317) 773-4482Imler,Eustacia 17151 Mercantile

Boulevard(317) 773-2300

Jones,April 17151 MercantileBoulevard

(317) 773-2300

Meyer,Carl 160 Lakeview Drive (317) 773-4482Ossip,Gregg 17151 Mercantile

Boulevard(317) 773-2300

Unger,Jennifer 509 Sheridan Road (317) 774-9280

Unger,Scott 509 Sheridan Road (317) 774-9280Vangets,Michelle 341 Logan

Street,#100(317) 773-5555

Venezia,Linda 17151 MercantileBoulevard

(317) 773-2300

Zeh,William 14540 Prairie LakesBoulevard North

(317) 770-8555

NORTH MANCHESTER

Camp,Bradley 103 North FrontStreet

(260) 982-8798

Trump,Nathan 1201 Indiana 114 (260) 982-8681

NORTH VERNON

Burnett,William 401 Henry Street (812) 346-3303Hearne,Kirk 29 East Poplar Street (812) 346-4646Lisle,James 747 North State

Street(812) 346-8500

Lisle,Margaret 747 North StateStreet

(812) 346-8500

Newman,Elizabeth 747 North StateStreet

(812) 346-8500

Otte,Nathan Paul 401 Henry Street (812) 346-3303Zamora,Marshall 401 Henry Street (812) 346-3303Zamora,Marshall 747 North State

Street(812) 346-8500

OAKLAND CITY

Bigham,James 251 North MainStreet

(812) 749-3700

Irvin,Jeffrey 251 North MainStreet

(812) 749-3700

Russ,Adam 251 North MainStreet

(812) 749-3700

Russ,Heather 251 North MainStreet

(812) 749-3700

ODON

Wintergerst,David 101 East ElnoraStreet

(812) 636-8030

OSSIAN

Schneider,Edward 111 West Mill Street (260) 622-4000

PAOLI

Cole,Robert 488 West HospitalRoad

(812) 723-4752

Harmon,Eric 488 West HospitalRoad

(812) 723-4752

Petty,Ryan 488 West HospitalRoad

(812) 723-4752

PENDLETON

Crane,Tracy 210 East WaterStreet

(765) 778-7524

Jones,Megan 210 East WaterStreet

(765) 778-7524

PERU

Dinn,Robert 66 West 2nd Street (765) 472-2000GuthriePennington,Meg

935 West MainStreet

(765) 472-4344

Hopper Jr,Raymond 935 West MainStreet

(765) 472-4344

Swindler,Shaun 66 West 2nd Street (765) 472-2000Wild,Michael 66 West 2nd Street (765) 472-2000

PETERSBURG

AbrassartRamsey,Renee

260 West MainStreet

(812) 354-3331

Shoultz,Clinton 715 South 9th Street (812) 354-9400

PLAINFIELD

Allen,Keely 1100 SouthfieldDrive,#1320

(317) 839-7300

Barina,Carissa 1100 SouthfieldDrive,#1320

(317) 839-7300

Box,David Franklin 1100 SouthfieldDrive,#1320

(317) 839-7300

Butorac,Geoff 2245 East MainStreet,#100

(317) 837-7800

Daub,Raymond 1855 Stafford Road (317) 839-2368Funk,Thomas 1100 Southfield

Drive,#1320(317) 839-7300

Groninger,Elizabeth 1855 Stafford Road (317) 839-2368Keeling,William 1100 Southfield

Drive,#1320(317) 839-7300

Mccormick,Charles 1100 SouthfieldDrive,#1320

(317) 839-7300

Rader,Nicholas 1100 SouthfieldDrive,#1320

(317) 839-7300

Smith,Kathryn Lavon 2245 East MainStreet,#100

(317) 837-7800

Thompson,Tod 1620 HawthorneDrive,#300

(317) 838-0202

Venezia,Linda 2245 East MainStreet,#100

(317) 837-7800

Walton,Megan 1855 Stafford Road (317) 839-2368

VSP Network (Signature Plan)

Indiana Member Services 1-800-877-7195

* Currently not accepting new patients. This information is intended for reference only and is subject to change.It is the member’s responsibility to verify theprovider’s network participation prior to obtaining treatment. 9

Wolf,Abby 2245 East MainStreet,#100

(317) 837-7800

Woodall,Nicholas 1100 SouthfieldDrive,#1320

(317) 839-7300

PLYMOUTH

Anderson,Andrew 1919 LakeAvenue,#103

(574) 935-4480

Baird,Brian 12921 PlymouthGoshen Trail

(574) 936-3212

Beisel,Lynda 1919 LakeAvenue,#103

(574) 935-4480

Conner,Joshua 1919 LakeAvenue,#103

(574) 935-4480

Danahey,Kevin 1919 LakeAvenue,#103

(574) 935-4480

Fenwick,David 313 East JeffersonStreet

(574) 936-9137

Henderson,Melissa 1400 North OakDrive

(574) 935-3937

Kralovansky,Jerry 109 North WalnutStreet

(574) 936-2272

Minnich,Darren 1400 North OakDrive

(574) 935-3937

Vore,Robert 12921 PlymouthGoshen Trail

(574) 936-3212

Weiss,Richard 1919 LakeAvenue,#103

(574) 935-4480

Wise,Pamela 1919 LakeAvenue,#103

(574) 935-4480

PORTAGE

Cory,Kim 6509 Central Avenue (219) 762-4801Cory,Scott 6509 Central Avenue (219) 762-4801Szabo,Ronald 3151 Willowcreek

Road(219) 762-2111

PORTLAND

Fullenkamp,David 1111 North MeridianStreet

(260) 726-4210

PRINCETON

Bromm,Robert 1304 West BroadwayStreet

(812) 385-4712

Cox,Conway 305 East BroadwayStreet

(812) 385-5520

Neuhoff,Linda 516 North MainStreet

(812) 385-4857

RENSSELAER

Bayly,Nancy 212 South VanRensselaer Street

(219) 866-5661

Moyer,Kim 215 West KellnerBoulevard,#1

(219) 866-5722

RICHMOND

Bailey,Max 2517 East MainStreet

(765) 966-2661

Ball,Steven 4523 East MainStreet

(765) 962-3800

Burich,Marilyn 4523 East MainStreet

(765) 962-3800

Burkhart,Edwin 1900 East MainStreet

(765) 962-2243

Cooke,Aaron 4523 East MainStreet

(765) 962-3800

Crawley,Kenneth 4523 East MainStreet

(765) 962-3800

Fechtman,James 4523 East MainStreet

(765) 962-3800

Hartill,James 4523 East MainStreet

(765) 962-3800

Logan,Jerry 2517 East MainStreet

(765) 966-2661

Mccoy,Michael 4523 East MainStreet

(765) 962-3800

Owens,Jesse 1120 South 9thStreet

(765) 939-2000

Owens,Melissa 1120 South 9thStreet

(765) 939-2000

Reeves,Edsel 2000 West MainStreet

(765) 966-4908

Reising,Adam 1900 East MainStreet

(765) 962-2243

Seay Ii,Robert 4523 East MainStreet

(765) 962-3800

Shuck,Jerry 2001 ChesterBoulevard

(765) 966-0583

Stovall,Nancy Carol 4523 East MainStreet

(765) 962-3800

Walrath,Judy 4523 East MainStreet

(765) 962-3800

ROCHESTER

Cashen,Clayton 2260 Main Street (574) 223-3916Caughell,Scott 1327 Main Street (574) 224-3937Donaldson,Karisa 1327 Main Street (574) 224-3937Laycock,Cynthia 2260 Main Street (574) 223-3916Price,Herbert 1327 Main Street (574) 224-3937

Shepler,Kathleen 1327 Main Street (574) 224-3937Troutman,Thomas 2260 Main Street (574) 223-3916

ROCKPORT

Sisley,Joseph 102 North 6th Street (812) 649-4266Wood,Charles 102 North 6th Street (812) 649-4266

ROCKVILLE

Coburn,Gary 725 North LincolnRoad

(765) 569-2008

Jones,Valerie 725 North LincolnRoad

(765) 569-2008

RUSHVILLE

Fenimore,Craig 1818 North MainStreet

(765) 932-4800

Sickbert,Steve 620 East 11th Street (765) 932-5553

SALEM

Black,Bradley 1350 South JacksonStreet

(812) 896-1717

Compton,Renee 600 South MainStreet

(812) 883-2700

Gunn,Melinda 1350 South JacksonStreet

(812) 896-1717

Hedrick,Jack 600 South MainStreet

(812) 883-2700

Hickey,Carol Lynn 600 South MainStreet

(812) 883-2700

Pugh,Jessica 1350 South JacksonStreet

(812) 896-1717

Pugh,Kristopher 1350 South JacksonStreet

(812) 896-1717

SCHERERVILLE

Curosh,Paul 234 West LincolnHighway

(219) 322-4348

Guadagno,Anthony 306 U.S. 30 (219) 864-1300Lowery,Douglas 226 West Lincoln

Highway(219) 322-2155

Prucy,David 234 West LincolnHighway

(219) 322-4348

SCOTTSBURG

Downing,Barry 279 North GardnerStreet,#2

(812) 752-5106

Eagleson,John 1356 North GardnerStreet

(812) 752-2020

Hardy,Lindsey 279 North GardnerStreet,#2

(812) 752-5106

Stuart,Phillip 1356 North GardnerStreet

(812) 752-2020

Thomas,Michael 1356 North GardnerStreet

(812) 752-2020

Williams,Mark Alan 279 North GardnerStreet,#2

(812) 752-5106

SEYMOUR

Conner,Joseph 707 West TiptonStreet

(812) 524-3937

Downing,Barry 631 East TiptonStreet

(812) 522-4444

Fischer,Linda 1125 Medical Place (812) 522-1800Frische,Michael 300 West 2nd Street (812) 523-6100Hardy,Lindsey 631 East Tipton

Street(812) 522-4444

Lambring,Christopher James

707 West TiptonStreet

(812) 524-3937

Otte,Nathan Paul 314 South ChestnutStreet

(812) 271-1700

Smith,Thomas 707 West TiptonStreet

(812) 524-3937

Williams,Mark Alan 631 East TiptonStreet

(812) 522-4444

SHELBYVILLE

Ball,Steven 1634 E State Rd 44 (317) 398-0176Borchert,Gary 273 West Broadway

Street(317) 398-8299

Borchert,Linda 273 West BroadwayStreet

(317) 398-8299

Burich,Marilyn 1634 E State Rd 44 (317) 398-0176Cooke,Aaron 1634 E State Rd 44 (317) 398-0176Crawley,Kenneth 1634 E State Rd 44 (317) 398-0176Fechtman,James 1634 E State Rd 44 (317) 398-0176Garringer,Katherine 441 Amos Road (317) 398-0305Grove,Alicia 106 West Boggstown

Road(317) 398-9793

Hartill,James 1634 E State Rd 44 (317) 398-0176Jahnke,Samantha 1634 E State Rd 44 (317) 398-0176Mccoy,Michael 1634 E State Rd 44 (317) 398-0176Mcdaniel,Ronald 441 Amos Road (317) 398-0305Mink,Barbara 1634 E State Rd 44 (317) 398-0176Robbins,Donald 106 West Boggstown

Road(317) 398-9793

Seay Ii,Robert 1634 E State Rd 44 (317) 398-0176Stegemiller,Anna 441 Amos Road (317) 398-0305Stovall,Nancy Carol 1634 E State Rd 44 (317) 398-0176

Walrath,Judy 1634 E State Rd 44 (317) 398-0176

SHERIDAN

Miller,Scott Alan 3901 47,#5 (317) 758-6162

SHIPSHEWANA

Craig,Charles 350 South VanBuren Street

(260) 768-7721

Morlan,Thomas 350 South VanBuren Street

(260) 768-7721

SOUTH BEND

Anderson,Andrew 319 North NilesAvenue

(574) 282-2020

Antos,Kyle 17615 Indiana 23 (574) 234-7600Bartlett,Matthew 810 East Colfax

Avenue(574) 287-3333

Bartlett,Matthew 332 North MichiganStreet

(574) 232-5955

Beisel,Lynda 319 North NilesAvenue

(574) 282-2020

Blankenbeker,Timothy

4121 South MichiganStreet

(574) 291-9200

Coalter,John 4121 South MichiganStreet

(574) 291-9200

Conner,Joshua 319 North NilesAvenue

(574) 282-2020

Craig,Charles 220 North IronwoodDrive

(574) 289-3937

Elias,Yair 2004 Edison Road (574) 288-2400Faust,Brian 17615 Indiana 23 (574) 234-7600Faust,Brian 220 North Ironwood

Drive(574) 289-3937

Garmon,Allison 4121 South MichiganStreet

(574) 291-9200

Gerber,Steve 707 North MichiganStreet,#210

(574) 233-2114

Hoskins,Kyle 17900 Ireland Road (574) 291-9280Kintner,Lindsey 810 East Colfax

Avenue(574) 287-3333

KostkaSuvelza,Marcia

707 North MichiganStreet,#210

(574) 233-2114

Milovich,Ronald 2004 Edison Road (574) 288-2400Morlan,Thomas 220 North Ironwood

Drive(574) 289-3937

Morton,Tom 17477 GenerationsDrive

(574) 287-0890

Offerle,John 17477 GenerationsDrive

(574) 287-0890

Offerle,Kristina 17477 GenerationsDrive

(574) 287-0890

Roach,Michael 4121 South MichiganStreet

(574) 291-9200

RobbinsWinters,Linnea

17477 GenerationsDrive

(574) 287-0890

Schwartz,Bruce 707 North MichiganStreet,#210

(574) 233-2114

Snyder,Ronald 17615 Indiana 23 (574) 234-7600Sonnenburg,David 4121 South Michigan

Street(574) 291-9200

Wade,Jeffrey 810 East ColfaxAvenue

(574) 287-3333

Wade,Ronald 810 East ColfaxAvenue

(574) 287-3333

Weiss,Richard 319 North NilesAvenue

(574) 282-2020

Yoon,Eric 707 North MichiganStreet,#210

(574) 233-2114

SPENCER

Atchison,Alison 357 West MorganStreet

(812) 829-2972

Balcueva,Daniel 357 West MorganStreet

(812) 829-2972

Dotterer,Travis 40 East MorganStreet

(812) 829-4859

Heil,Jennifer 40 East MorganStreet

(812) 829-4859

Olund,Candice 357 West MorganStreet

(812) 829-2972

Petry,Kurt 357 West MorganStreet

(812) 829-2972

ST. JOHN

Anderson,Valerie 9270 Wicker Avenue (219) 365-1227Bell,Angela 9488 Wicker Avenue (219) 365-7200Collett,Laurie 9488 Wicker Avenue (219) 365-7200Zych,Daniel 8025 Wicker Avenue (219) 558-0020

SULLIVAN

Anderson,Steven 114 South CourtStreet

(812) 268-4668

Jones Jr,William 117 South MainStreet

(812) 268-4700

SWAYZEE

Farlow,Bradley 2651 South 800West

(765) 922-7017

VSP Network (Signature Plan)

Indiana Member Services 1-800-877-7195

* Currently not accepting new patients. This information is intended for reference only and is subject to change.It is the member’s responsibility to verify theprovider’s network participation prior to obtaining treatment. 10

SYRACUSE

Kaufman,Rod 406 North HuntingtonStreet

(574) 457-4476

TELL CITY

Burris,Eric 715 Main Street (812) 547-3396Labhart,Mark 715 Main Street (812) 547-3396Le Clere,J 715 Main Street (812) 547-3396

TERRE HAUTE

Ball,Steven 3013 U.S. 41 (812) 234-4434Black,Steven 4424 South 7th

Street(812) 299-3937

Burich,Marilyn 3013 U.S. 41 (812) 234-4434Cooke,Aaron 3013 U.S. 41 (812) 234-4434Dewar Jr,Lloyd 3013 U.S. 41 (812) 234-4434Farber,Andrew 76 West Springhill

Drive(812) 299-2020

Fechtman,James 3013 U.S. 41 (812) 234-4434Harper,Leighton 114 West Honey

Creek Parkway(812) 234-6500

Hartill,James 3013 U.S. 41 (812) 234-4434HeckSacopulos,Darla

114 West HoneyCreek Parkway

(812) 234-6500

Herner,Keith 35 The Meadows (812) 232-3458Hoffman,Miccah 4684 U.S. 41 (812) 232-4925Loge,Kevin 114 West Honey

Creek Parkway(812) 234-6500

Lowdermilk,Stacy 643 Ohio Street (812) 232-0073Mccoy,Michael 3013 U.S. 41 (812) 234-4434Ponugoti,Padma 76 West Springhill

Drive(812) 299-2020

Ross,Brian 643 Ohio Street (812) 232-0073Seay,David 3013 U.S. 41 (812) 234-4434Seay Ii,Robert 3013 U.S. 41 (812) 234-4434Stovall,Nancy Carol 3013 U.S. 41 (812) 234-4434Taylor,Charles 114 West Honey

Creek Parkway(812) 234-6500

Walrath,Judy 3013 U.S. 41 (812) 234-4434West,Douglas 4684 U.S. 41 (812) 232-4925West,Douglas 1545 Fort Harrison

Road(812) 460-0520

TIPTON

Doi,Steven 415 South MainStreet

(765) 675-4244

Garner,Adam 215 East JeffersonStreet

(765) 675-3937

Harper,Robert 415 South MainStreet

(765) 675-4244

Tweedy,Jeffrey 132 North MainStreet

(765) 675-6014

Worth,Kevin 215 East JeffersonStreet

(765) 675-3937

VALPARAISO

Baker,Matthew 3540 CalumetAvenue

(219) 462-5113

Buck,Scott 502 Marquette Street (219) 464-8223Buck,Stephen 502 Marquette Street (219) 464-8223Caine,Jennifer 3540 Calumet

Avenue(219) 462-5113

Carlson,Richard 502 Marquette Street (219) 464-8223Friedman,Eric 552 West Lincolnway (219) 464-3937Grove,Juliana 21 North Washington

Street(219) 286-7007

Ireland,Richard 1620 Country ClubRoad

(219) 462-0309

Jack,Colin 1620 Country ClubRoad

(219) 462-0309

Jozwiak,Heather 2009 RooseveltRoad

(219) 462-5501

Lewyckyj,Myron 1620 Country ClubRoad

(219) 462-0309

Menon,Nandini 1620 Country ClubRoad

(219) 462-0309

Petkus,Amy 3540 CalumetAvenue

(219) 462-5113

Shinneman,Lawrence

3540 CalumetAvenue

(219) 462-5113

Taglia,Daniel 1620 Country ClubRoad

(219) 462-0309

Tsagris,Sarah 1620 Country ClubRoad

(219) 462-0309

VERSAILLES

Eagleson,John 1154 S RipleyEstates Dr

(812) 689-4721

Stuart,Phillip 1154 S RipleyEstates Dr

(812) 689-4721

Thomas,Michael 1154 S RipleyEstates Dr

(812) 689-4721

VEVAY

Lisle,James 405 Ferry Street (812) 427-2717Lisle,Margaret 405 Ferry Street (812) 427-2717Newman,Elizabeth 405 Ferry Street (812) 427-2717Sieglitz,John 405 Ferry Street (812) 427-2717

Zamora,Marshall 405 Ferry Street (812) 427-2717

VINCENNES

Baker,Nathaniel 223 Main Street (812) 882-4809Bochner,Dirk 223 Main Street (812) 882-4809Boyd,Miriam 609 Dubois Street (812) 882-8500Day Keller,Stephanie 2020 Clearview Drive

Box 924(812) 882-9600

Decoursey,John 223 Main Street (812) 882-4809Emert,Frank 2020 Clearview Drive

Box 924(812) 882-9600

Hendrix,Mark 223 Main Street (812) 882-4809Hendrix,Scott 223 Main Street (812) 882-4809Keller,Bradley 414 Main Street (812) 886-4411Kluemper,Ryan 2020 Clearview Drive

Box 924(812) 882-9600

Mccormick,Cheryl 120 Main Street (812) 255-3003Quick,Jericho 414 Main Street (812) 886-4411

WABASH

Culver,Lindsay 833 North CassStreet

(260) 563-3672

Dale,Eric 520 ManchesterAvenue

(260) 563-0884

Farlow,Bradley 144 West Hill Street (260) 563-2020Garner,Gregory 833 North Cass

Street(260) 563-3672

Hutchinson,Robert 520 ManchesterAvenue

(260) 563-0884

Trump,Bruce 833 North CassStreet

(260) 563-3672

WARREN

Diedrich,Daniel 801 HuntingtonAvenue

(260) 375-2201

WARSAW

Bonham,Craig 3157 Center Street (574) 269-1331Caughell,Scott 3505 Indiana 15 (574) 267-3515Culver,Lindsay 3157 Center Street (574) 269-1331Fawcett,William 3157 Center Street (574) 269-1331Frey,Aaron 3301 East Center

Street Ext(574) 269-3828

Johnson,Rachel 3301 East CenterStreet Ext

(574) 269-3828

Johnson,Thomas 3157 Center Street (574) 269-1331Reinholt,Mitchell 3301 East Center

Street Ext(574) 269-3828

Temple,Tabitha 3505 Indiana 15 (574) 267-3515Thallemer,Joseph 3301 East Center

Street Ext(574) 269-3828

Trump,Nathan 3157 Center Street (574) 269-1331

WASHINGTON

Baker,Nathaniel 109 Cherry TreePlaza

(812) 254-1600

Day Keller,Stephanie 1209 Indiana 57 (812) 254-0990Decoursey,John 109 Cherry Tree

Plaza(812) 254-1600

Emert,Frank 1209 Indiana 57 (812) 254-0990Gregory,Stephen 400 East National

Highway(812) 254-6594

Hale,Richard 106 East Main Street (812) 254-1190Hendrix,Scott 109 Cherry Tree

Plaza(812) 254-1600

Kluemper,Ryan 1209 Indiana 57 (812) 254-0990Lang,Cynthia 400 East National

Highway(812) 254-6594

WEST LAFAYETTE

Alfred,Angela 101 North GrantStreet

(765) 743-6137

Beck,Stacey 304 East State Street (765) 743-3132Beck,Steven 304 East State Street (765) 743-3132Evans,Matthew 101 North Grant

Street(765) 743-6137

Giltner,Ashley 101 North GrantStreet

(765) 743-6137

Mcmillin,Lindy 101 North GrantStreet

(765) 743-6137

MikusevichFinney,Christine

101 North GrantStreet

(765) 743-6137

Morton,William 2516 CovingtonStreet

(765) 463-4558

Piggott,Loretta 101 North GrantStreet

(765) 743-6137

Sharp,Brandon 101 North GrantStreet

(765) 743-6137

WESTFIELD

Busby,Kathleen 16409 SouthparkDrive

(317) 896-5005

Corey,Natalie 316 West 161stStreet

(317) 867-0555

Feipel,Nicholas 16409 SouthparkDrive

(317) 896-5005

Shah,Anjali 316 West 161stStreet

(317) 867-0555

Unger,Scott 3216 Indiana 32 (317) 867-1940

Worth,Kevin 3216 Indiana 32 (317) 867-1940

WHITELAND

Claudy,Joseph 430 U.S. 31 (317) 535-7586

WHITING

Curosh,Lauren 1334 119th Street (219) 659-3050Curosh,Paul 1538 119th Street (219) 659-0805Gomez,Efren 1703 Calumet

Avenue(219) 659-1105

Hapner,Evan 1334 119th Street (219) 659-3050Hoffman,Robert 1703 Calumet

Avenue(219) 659-1105

Levin,Steven 1334 119th Street (219) 659-3050Prucy,David 1538 119th Street (219) 659-0805

WINAMAC

Gudas,Jennifer 633 East 13th Street (574) 946-3944

WINCHESTER

Cates,John 882 East GreenvilleAvenue

(765) 584-1320

De Groff,Steven 310 South OakStreet

(765) 584-2020

Harkin,Matthew 882 East GreenvilleAvenue

(765) 584-1320

Kimmell,Stephen 882 East GreenvilleAvenue

(765) 584-1320

Stewart,Gail 882 East GreenvilleAvenue

(765) 584-1320

ZIONSVILLE

Ball,Steven 61 Boone Village (317) 733-3344Burich,Marilyn 61 Boone Village (317) 733-3344Burkart,Matthew 1500 West Oak

Street,#100(317) 873-4020

Burkart,Matthew 10801 NorthMichigan Road,#100

(317) 344-1266

Fechtman,James 61 Boone Village (317) 733-3344Fraser,Ami 1375 Parkway Drive (317) 873-3000Garn,Nicholas 1375 Parkway Drive (317) 873-3000Gelarden,Kelly 10801 North

Michigan Road,#100(317) 344-1266

Haines,James 1375 Parkway Drive (317) 873-3000Hartill,James 61 Boone Village (317) 733-3344Hassan,Amal 61 Boone Village (317) 733-3344Helton,Nicole 61 Boone Village (317) 733-3344Kautzman,Richard 61 Boone Village (317) 733-3344Koval,Larry 10801 North

Michigan Road,#100(317) 344-1266

Kramer,James 1500 West OakStreet,#100

(317) 873-4020

Leburg,Elizabeth 10801 NorthMichigan Road,#100

(317) 344-1266

Levack,Sheri 55 BrendonWay,#900

(317) 873-3393

Markley,Harvey 10801 NorthMichigan Road,#100

(317) 344-1266

Mccoy,Michael 61 Boone Village (317) 733-3344Pierce,Shannon 55 Brendon

Way,#900(317) 873-3393

Schuetz,Katherine 55 BrendonWay,#900

(317) 873-3393

Seay Ii,Robert 61 Boone Village (317) 733-3344Stovall,Nancy Carol 61 Boone Village (317) 733-3344Stumpf,Charles 1500 West Oak

Street,#100(317) 873-4020

Tavel,Alan 61 Boone Village (317) 733-3344Turner Sr,Antonio 61 Boone Village (317) 733-3344Walrath,Judy 61 Boone Village (317) 733-3344Wittmann,Tammy 1375 Parkway Drive (317) 873-3000Wolf,Abby 10801 North

Michigan Road,#100(317) 344-1266

VSP Network (Signature Plan)

Indiana Member Services 1-800-877-7195

* Currently not accepting new patients. This information is intended for reference only and is subject to change.It is the member’s responsibility to verify theprovider’s network participation prior to obtaining treatment. 11

Vision Service Plan(VSP) Doctor Nomination FormI would like to nominate my doctor for inclusion in the Vision Service Plan(VSP) MemberDoctor Network. I understand that VSP retains final authority for approving membership inthe provider network. I also understand that VSP may use my name when contacting mydoctor and inform them of my desire for them to join the network. You can also nominateonline at www.GuardianLife.com.

NOTE: This form does not serve as an enrollment form for vision coverage or toregister with the vision office as a patient.

DATE:_____________ Group Plan #:_____________________

MEMBER INFO:

Employer: _____________________________________________________________

Patient: _______________________________________________________________

Address: ______________________________________________________________

City/State/Zip: __________________________________________________________

Phone: ___________________________ Fax:_________________________________

E-mail: ________________________________________________________________

DOCTOR INFO:

Name: ________________________________________________________________

Address: ______________________________________________________________

City/State/Zip: __________________________________________________________

Phone: ________________________________________________________________

Specialty: ______________________________________________________________

E-mail: ________________________________________________________________

Please submit completed form to: Vision Service PlanAttn: CC Chernev.Account Manager3333 Quality DriveRancho Cordova, CA 95670

Fax: 916-858-5250

Online at www.GuardianLife.com

www.GuardianLife.com