Organization Active NPI

Webb Family Eyecare of Indiana Inc.

  • Optometrist
  • Clarksville, IN
National Provider Identifier
1134512973
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003884A Issued in IN
Legal business name
WEBB FAMILY EYECARE OF INDIANA INC.
Practice address
757 E Lewis and Clark Pkwy
Clarksville, IN 47129-2269
Phone
(812) 288-8566
Fax
(812) 284-2326
NPI assigned
Mar 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Larry E Webb, O.D.NPI 1679568257
Title
Owner/Optometrist
Phone
(502) 327-1302

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 18003884A IN Primary

Addresses

Primary practice location

757 E Lewis and Clark Pkwy
Clarksville, IN 47129-2269

Mailing address

757 E Lewis and Clark Pkwy
Clarksville, IN 47129-2269
Phone (812) 288-8566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150622000251 IN Part B Supplier - Clinic/Group Practice 9436460243 Receives reassigned benefits from 5 practitioners
Practice locations: Jeffersonville, IN

National Provider Directory

National Provider Directory

Locations

1570 Veterans Pkwy
Jeffersonville, IN 47130
Phone (812) 284-1533

Practitioners & affiliated clinicians

Practitioners 5

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": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1134512973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 E LEWIS AND CLARK PKWY",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292269",
            "telephone_number": "812-288-8566",
            "fax_number": "812-284-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 E LEWIS AND CLARK PKWY",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292269",
            "telephone_number": "812-288-8566",
            "fax_number": "812-284-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBB FAMILY EYECARE OF INDIANA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "502-327-1302",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003884A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.