NPIMap

Organization Active NPI

Simpson & Bigham OD Partnership

  • Optometrist
  • Evansville, IN
National Provider Identifier
1114150968
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002839 Issued in IN
Legal business name
SIMPSON & BIGHAM OD PARTNERSHIP
Practice address
2417 W Franklin St
Evansville, IN 47712-5564
Phone
(812) 423-5000
Fax
(812) 423-6838
NPI assigned
Aug 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Amy L Gorman-Miller
Title
Office Manager
Phone
(812) 423-5000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 18002839 IN Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 18003226 IN

Addresses

Primary practice location

2417 W Franklin St
Evansville, IN 47712-5564

Mailing address

2417 W Franklin St
Evansville, IN 47712-5564
Phone (812) 423-5000

Other identifiers 2

IdentifierTypeStateIssuer
200118870MedicaidIN
200441230MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100304000254 IN Part B Supplier - Clinic/Group Practice 1557406337 Receives reassigned benefits from 6 practitioners
Practice locations: Evansville, IN
O20100930043579 IN DME Supplier - Physician - Optometrist 1557406337 Practice locations: Evansville, IN

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Simpson & Bigham OD Partnership2417 W Franklin St, Evansville, IN 47712-5507(812) 423-5000 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Does not accept assignmentParticipating since Dec 9, 2009

National Provider Directory

National Provider Directory

Locations

2417 W Franklin St
Evansville, IN 47712
Phone (812) 423-5000

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1114150968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 W FRANKLIN ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477125564",
            "telephone_number": "812-423-5000",
            "fax_number": "812-423-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 W FRANKLIN ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477125564",
            "telephone_number": "812-423-5000",
            "fax_number": "812-423-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPSON & BIGHAM OD PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "GORMAN-MILLER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "812-423-5000"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002839",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003226",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200118870",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200441230",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.