Preferred Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002362B Issued in IN

Legal business name

PREFERRED EYE CARE, LLC

Practice address

711 N River Dr
Marion, IN 46952-2672

Phone

(765) 664-9637

Fax

(765) 664-9792

NPI assigned

Jul 8, 2007

Last updated

Apr 29, 2008By 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

Dr. Todd J Fettig, ODNPI 1326074931

Title

Owner

Phone

(765) 664-9637

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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.

• Todd J Fettig, OD

  • Optometrist
  • Marion, IN
  • NPI 1326074931
  Authorized official Same address or phone

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

{
    "created_epoch": "1183852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1093913303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N RIVER DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522672",
            "telephone_number": "765-664-9637",
            "fax_number": "765-664-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N RIVER DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522672",
            "telephone_number": "765-664-9637",
            "fax_number": "765-664-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-08",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "FETTIG",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-664-9637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002362B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Kaitlyn Pop, PA-C
• Chris Powell, PHARM. D.
• Madison Elizabeth Powell, LLC
• Christopher Dennis Powers, MD
• Mary Beth Powers, MS, CCC-SLP
• Premier Care of Indiana, Inc. (Community Medical Services Marion)
• Premier Care of Indiana, Inc.
• Premier Home Health LLC
• Premier Providers Inc Dba Bradner Village Health Care Center
• Prevail Prosthetics and Orthotics

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.