Eyecare Express Schererville Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYECARE EXPRESS SCHERERVILLE INC

Practice address

116 Indianapolis Blvd
Schererville, IN 46375-1204

Phone

(219) 440-7121

Fax

(219) 227-8480

NPI assigned

May 6, 2022

Last updated

May 6, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Shannon Marie Sutton

Title

Manager

Phone

(219) 440-7121

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1053057760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 INDIANAPOLIS BLVD",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751204",
            "telephone_number": "219-440-7121",
            "fax_number": "219-227-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 INDIANAPOLIS BLVD",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751204",
            "telephone_number": "219-440-7121",
            "fax_number": "219-227-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE EXPRESS SCHERERVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "219-440-7121",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Schererville, IN
• Providers in Schererville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.