Indy Eyes, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

INDY EYES, LLC

Practice address

322 W Main St Ste 200
Westfield, IN 46074-9384

Phone

(765) 453-3777

NPI assigned

Apr 6, 2018

Organization subpart

Yes

Parent organization

EYE PHYSICIANS INCAs reported in NPPES

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

Authorized official

Name

Mrs. Michela D Phillabaum

Title

Manager of Billing and Insurance

Phone

(765) 453-3777

Specialties & licenses 2

Addresses

Part of

Eye Physicians Inc

Locations

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1073010146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 S LAFOUNTAIN ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023801",
            "telephone_number": "765-453-3777",
            "fax_number": "765-453-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W MAIN ST STE 200",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460749384",
            "telephone_number": "765-453-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDY EYES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE PHYSICIANS INC",
        "enumeration_date": "2018-04-06",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "PHILLABAUM",
        "authorized_official_first_name": "MICHELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER OF BILLING AND INSURANCE",
        "authorized_official_telephone_number": "765-453-3777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Westfield, IN
• Providers in Westfield, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.