Monticello Eye Center, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001712A Issued in IN

Legal business name

MONTICELLO EYE CENTER, P.C.

Doing business as

Monticello Eye Center

Practice address

501 W Broadway St
Monticello, IN 47960-2006

Phone

(574) 583-9311

Fax

(574) 583-4939

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John C Corbin, O.D.

Title

President

Phone

(574) 583-9311

Specialties & licenses 1

Addresses

Other names 1

• Monticello Eye Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Brooke Brandstatter, O.D.

  • Optometrist
  • Logansport, IN
  • NPI 1215955505
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1093821860",
    "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": {
        "organization_name": "MONTICELLO EYE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "CORBIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-583-9311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001712A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monticello Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mending Hearts & Building Dreams Therapy, LLC
• Mid America Fiberglass, Inc.
• Nicole Mikels, OD
• Kylee Miller
• William J Misenheimer, D.C.
• Monticello Medical Center, LLC
• Monticello Medical Center, LLC
• Monticello Podiatry LLC
• Monticello Podiatry LLC
• Monticello Women'S Clinic

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

• 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.

Verify at the official NPI Registry.