Granger Family Eyecare Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002580 Issued in IN

Legal business name

GRANGER FAMILY EYECARE INC

Practice address

13197 State Road 23
Granger, IN 46530

Phone

(574) 247-1500

Fax

(574) 247-1505

NPI assigned

Jan 31, 2007

Last updated

Jul 27, 2012By 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. Tara L. Svatos, O.D.NPI 1336146497

Title

President

Phone

(574) 247-1500

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Tara Lynn Svatos, O.D.

  • Optometrist
  • Granger, IN
  • NPI 1336146497
  Authorized official Same address or phone

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1114064680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13197 STATE ROAD 23",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "46530",
            "telephone_number": "574-247-1500",
            "fax_number": "574-247-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13197 STATE ROAD 23",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "46530",
            "telephone_number": "574-247-1500",
            "fax_number": "574-247-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANGER FAMILY EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "SVATOS",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-247-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000277906",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410049816",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Katherine Mavis Greene, SLP M.A. CCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.