Organization Active NPI

Hoosier Ophthalmology Associates

  • Durable Medical Equipment & Medical Supplies
  • Anderson, IN
National Provider Identifier
1154412203
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOOSIER OPHTHALMOLOGY ASSOCIATES
Practice address
1628 Medical Arts Blvd
Anderson, IN 46011-3441
Phone
(765) 649-5221
Fax
(765) 649-1537
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John D Jones, M.D.
Title
Co-Owner
Phone
(765) 649-5221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X IN Primary

Addresses

Primary practice location

1628 Medical Arts Blvd
Anderson, IN 46011-3441

Mailing address

1628 Medical Arts Blvd
Anderson, IN 46011-3441
Phone (765) 649-5221

Other identifiers 1

IdentifierTypeStateIssuer
0196380001OtherINDME

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930037976 IN DME Supplier - Physician - Ophthalmology 0042283400 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Anderson, IN

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154412203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 MEDICAL ARTS BLVD",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113441",
            "telephone_number": "765-649-5221",
            "fax_number": "765-649-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 MEDICAL ARTS BLVD",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113441",
            "telephone_number": "765-649-5221",
            "fax_number": "765-649-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER OPHTHALMOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "765-649-5221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0196380001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.