Organization Active NPI

Progressive Vision Group Inc

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1124130588
Registry record updated Jan 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
56000195A Issued in IN
Legal business name
PROGRESSIVE VISION GROUP INC
Practice address
4040 E 82ND St
Suite C7
Indianapolis, IN 46250-4209
Phone
(317) 595-8855
Fax
(317) 595-8866
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2010

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

Authorized official

Name
Dr. Perry Lopez, ODNPI 1922192731
Title
Owner
Phone
(317) 595-8855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 56000195A IN Primary

Addresses

Primary practice location

4040 E 82ND St
Suite C7
Indianapolis, IN 46250-4209

Mailing address

4040 E 82ND St
Suite C7
Indianapolis, IN 46250-4209
Phone (317) 595-8855

Other names 1

  • Progressive Eyecare & Eyewear Doing business as

National Provider Directory

National Provider Directory

Locations

8977 E 116th St
Fishers, IN 46038
Phone (317) 595-8855

3902 E 82nd St
Indianapolis, IN 46240
Phone (317) 595-8855

4040 E 82nd St
Ste C7
Indianapolis, IN 46250
Phone (317) 595-8855

4040 E 82nd St
Indianapolis, IN 46250
Phone (317) 595-8855

Practitioners & affiliated clinicians

Practitioners 2

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263772800000",
    "number": "1124130588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 E 82ND ST",
            "address_2": "SUITE C7",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504209",
            "telephone_number": "317-595-8855",
            "fax_number": "317-595-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 E 82ND ST",
            "address_2": "SUITE C7",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504209",
            "telephone_number": "317-595-8855",
            "fax_number": "317-595-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE VISION GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-01-18",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-595-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "56000195A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Eyecare & Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; 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.