Active NPI
John C Corbin, O.D.
- Optometrist
- Monticello, IN
National Provider Identifier
1043233141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18001712A
- Practice address
- 501 W Broadway St
Monticello, IN 47960-2006 - Phone
- (574) 583-9311
- Fax
- (574) 583-4939
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18001712A | IN | Primary |
Addresses
Primary practice location
501 W Broadway St
Monticello, IN 47960-2006
Mailing address
501 W Broadway St
Monticello, IN 47960-2006
Phone (574) 583-9311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- direct@monticelloeyecentermonticelloin.compulinkdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218412800000",
"number": "1043233141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 W BROADWAY ST",
"city": "MONTICELLO",
"state": "IN",
"postal_code": "479602006",
"telephone_number": "574-583-9311",
"fax_number": "574-583-4939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W BROADWAY ST",
"city": "MONTICELLO",
"state": "IN",
"postal_code": "479602006",
"telephone_number": "574-583-9311",
"fax_number": "574-583-4939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBIN",
"first_name": "JOHN",
"middle_name": "C",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2008-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18001712A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.