NPIMap

Organization Active NPI

City Optical Co., Inc.

  • Optometrist
  • Richmond, IN
National Provider Identifier
1104815604
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CITY OPTICAL CO., INC.
Practice address
4523 National Rd E
Richmond, IN 47374-3731
Phone
(765) 962-3800
Fax
(855) 326-4293
NPI assigned
Oct 18, 2005
Reactivated
Jul 13, 2015
Organization subpart
No

Other NPIs on the same Medicare enrollment 29

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 29

Practitioners 2

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128000867 IN Part B Supplier - Clinic/Group Practice 5597668574 Receives reassigned benefits from 58 practitioners
29 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Indianapolis, IN; Kokomo, IN; Lebanon, IN; Martinsville, IN; Merrillville, IN; Mooresville, IN; Muncie, IN; New Castle, IN…

National Provider Directory

National Provider Directory
Tax ID family
City Optical Company26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Dr. Larry S Tavel, MD
Title
President
Phone
(317) 924-1300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 18001649 IN
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4523 National Rd E
Richmond, IN 47374-3731

Mailing address

2839 Lafayette Road
Indianapolis, IN 46222-2147
Phone (317) 924-1300

Other identifiers 1

IdentifierTypeStateIssuer
100256640AMedicaidIN

Other names 1

  • Dr Tavel Family Eye Care Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1104815604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 LAFAYETTE ROAD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462222147",
            "telephone_number": "317-924-1300",
            "fax_number": "317-924-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4523 NATIONAL RD E",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473743731",
            "telephone_number": "765-962-3800",
            "fax_number": "855-326-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OPTICAL CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "deactivation_date": "2015-07-01",
        "reactivation_date": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "TAVEL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-924-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001649",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100256640A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Tavel Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr Tavel Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.