Organization Active NPI

Lisle Family Eye Care Inc

  • Optometrist
  • Seymour, IN
National Provider Identifier
1053973438
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LISLE FAMILY EYE CARE INC
Practice address
1125 Medical PL
Seymour, IN 47274-2639
Phone
(812) 522-1800
NPI assigned
Jul 5, 2019
Organization subpart
Yes
Parent organization
LISLE FAMILY EYE CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
James Thomas Lisle, ODNPI 1790778306
Title
President
Phone
(812) 352-6600

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1125 Medical PL
Seymour, IN 47274-2639

Mailing address

2580 Michigan Rd Ste 2
Madison, IN 47250-2492
Phone (812) 352-6600

Other identifiers 1

IdentifierTypeStateIssuer
300027119MedicaidIN

Other names 1

  • The Eye Care Group Doing business as

National Provider Directory

National Provider Directory
Part of
Lisle Family Eye Care Inc

Locations

2580 Michigan Rd
Ste 200
Madison, IN 47250
Phone (812) 265-6222

747 N State St
North Vernon, IN 47265
Phone (812) 346-8500

50 Adams St
New Castle, KY 40050
Phone (502) 845-2861

Practitioners & affiliated clinicians

Practitioners 10

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": "1562284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1053973438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 MICHIGAN RD STE 2",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472502492",
            "telephone_number": "812-352-6600",
            "fax_number": "812-274-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 MEDICAL PL",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742639",
            "telephone_number": "812-522-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISLE FAMILY EYE CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LISLE FAMILY EYE CARE INC",
        "enumeration_date": "2019-07-05",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "LISLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-352-6600",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300027119",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Care Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seymour, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.