NPIMap

Organization Active NPI

Norman Eyecare LTD

Doing business as Norman & Miller Eyecare

  • Optometrist
  • Monticello, IN
National Provider Identifier
1114684610
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NORMAN EYECARE LTD
Doing business as
Norman & Miller Eyecare
Practice address
501 W Broadway St
Monticello, IN 47960-2006
Phone
(574) 583-9311
Fax
(765) 564-2477
NPI assigned
Nov 19, 2021
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Shannon Keyser
Title
Admin
Phone
(765) 564-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

501 W Broadway St
Monticello, IN 47960-2006

Mailing address

750 E Main St
Delphi, IN 46923-1327
Phone (765) 564-2800

Other names 1

  • Norman & Miller Eyecare Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081230000359 IN Part B Supplier - Clinic/Group Practice 3173685088 Receives reassigned benefits from 19 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Indianapolis, IN; Westfield, IN; Sheridan, IN; Monticello, IN; Lebanon, IN; Lafayette, IN; Frankfort, IN; Delphi, IN…
O20220415000635 IN DME Supplier - Physician - Optometrist 3173685088 Practice locations: Monticello, IN

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

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

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
Norman Eyecare LTD501 W Broadway St, Monticello, IN 47960-2006(574) 583-9311 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Mar 30, 1995

National Provider Directory

National Provider Directory
Tax ID family
Norman Eyecare LTD10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1114684610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E MAIN ST",
            "city": "DELPHI",
            "state": "IN",
            "postal_code": "469231327",
            "telephone_number": "765-564-2800",
            "fax_number": "765-564-2477"
        },
        {
            "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": "765-564-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN EYECARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "KEYSER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "765-564-2800"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norman & Miller Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Norman & Miller Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monticello, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.