Metropolitan Eyecare Center of St. John

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

METROPOLITAN EYECARE CENTER OF ST. JOHN

Practice address

9488 Wicker Ave # a
Saint John, IN 46373-9400

Phone

(219) 365-7200

Fax

(219) 365-7207

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Laurie Collett, OD

Title

Owner

Phone

(219) 365-7200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1124147947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9488 WICKER AVE # A",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739400",
            "telephone_number": "219-365-7200",
            "fax_number": "219-365-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9488 WICKER AVE # A",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739400",
            "telephone_number": "219-365-7200",
            "fax_number": "219-365-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN EYECARE CENTER OF ST. JOHN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "COLLETT",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-365-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norbert A Matulis, DDS
• Charles T. McCarroll, D.D.S.
• Brooke McDermott, MD
• Allison M McLeish, DPT
• Medical Specialists Inc., PC (Medical Specialists & Child Life Center)
• Midwest Anesthesia and Pain Specialists, SC
• Robert M Modrowski, D.D.S.
• Laura Moran, COTA
• Lydia L. Morgan, ATC, LAT
• Alonzo Kevin Morrissey, MD

• Optometrist in Saint John, IN
• Providers in Saint John, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.