Active NPI
The Eye Group of Southern Indiana LLC
- Ophthalmology Physician
- Evansville, IN
National Provider Identifier
1013948041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01031457A
- Legal business name
- THE EYE GROUP OF SOUTHERN INDIANA LLC
- Practice address
- 1020 W Buena Vista Rd
Evansville, IN 47710-5150 - Phone
- (812) 423-3131
- Fax
- (812) 426-7020
- NPI assigned
- Jul 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Omar M Dukar, M.D.
- Title
- Physician/Owner
- Phone
- (812) 423-3131
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01031457A | IN | Primary |
Addresses
Primary practice location
1020 W Buena Vista Rd
Evansville, IN 47710-5150
Mailing address
1020 W Buena Vista Rd
Evansville, IN 47710-5150
Phone (812) 423-3131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200216310A | Medicaid | IN |
Other names 1
- The Eye Group LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040831001189 | IN | Part B Supplier - Clinic/Group Practice | 2769457969 |
Receives reassigned benefits from 2 practitioners Practice locations: Evansville, IN |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Evansville, IN
- NPI 1790886547
2769457969
National Provider Directory
National Provider Directory- Tax ID family
- The Eye Group LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Evansville, IN
- NPI 1790886547
Locations
520 Mary St
Ste 130
Evansville, IN 47710
Phone (812) 250-0100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440547200000",
"number": "1013948041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 W BUENA VISTA RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477105150",
"telephone_number": "812-423-3131",
"fax_number": "812-426-7020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 W BUENA VISTA RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477105150",
"telephone_number": "812-423-3131",
"fax_number": "812-426-7020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE EYE GROUP OF SOUTHERN INDIANA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2015-08-26",
"status": "A",
"authorized_official_last_name": "DUKAR",
"authorized_official_first_name": "OMAR",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "812-423-3131",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "IN",
"license": "01031457A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200216310A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Eye Group LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Evansville, IN
- Killol J Thakore, MD
- Patricia W Tharp, M.D.
- Hailey Thayer
- The Chesnut Group of Indiana
- The Cobb Group and Associates Inc
- The Eye Group of Southern Indiana, LLC
- The Eye Group of Southern Indiana, LLC
- The Health and Hospital Corporation of Marion County
- The Health and Hospital Corporation of Marion County
- The Health and Hospital Corporation of Marion County
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.