NPIMap

Organization Active NPI

Charles M. Rissler, OD, PC

  • Optometrist
  • Plainfield, IN
National Provider Identifier
1053532184
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001745A Issued in IN
Legal business name
CHARLES M. RISSLER, OD, PC
Practice address
2373 E Main St
Plainfield, IN 46168-2717
Phone
(317) 839-0713
NPI assigned
May 2, 2007
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Charles M. Rissler, O.D.NPI 1902862386
Title
President
Phone
(317) 696-7851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001745A IN Primary

Addresses

Primary practice location

2373 E Main St
Plainfield, IN 46168-2717

Mailing address

1125 Baltustrol Run
Avon, IN 46123-7067
Phone (317) 696-7851

Other identifiers 3

IdentifierTypeStateIssuer
200894260BMedicaidIN
200894260CMedicaidIN
384931OtherINANTHEM

National Provider Directory

National Provider Directory

Locations

8191 Upland Way
#M
Camby, IN 46113
Phone (317) 856-9609

2373 E Main St
Plainfield, IN 46168
Phone (317) 839-0713

2373 E Main St
#M
Plainfield, IN 46168
Phone (317) 839-0713

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1053532184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 BALTUSTROL RUN",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237067",
            "telephone_number": "317-696-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 E MAIN ST",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682717",
            "telephone_number": "317-839-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES M. RISSLER, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "RISSLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-696-7851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001745A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200894260B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200894260C",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "384931",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.