The Eye Center of Fort Wayne, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

THE EYE CENTER OF FORT WAYNE, LLC

Practice address

321 E Wayne St
Fort Wayne, IN 46802-2713

Phone

(260) 424-5656

Fax

(260) 424-4511

NPI assigned

Oct 8, 2009

Last updated

Feb 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Rex Parent, M.D.NPI 1275545873

Title

Physician /Owner

Phone

(260) 424-5656

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

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.

• James E French, O.D.

  • Optometrist
  • Fort Wayne, IN
  • NPI 1639163710
  Medicare reassignment Care Compare group NPD
• Paul A Gill, O.D.

  • Optometrist
  • Fort Wayne, IN
  • NPI 1447262076
  Medicare reassignment Care Compare group NPD
• Padma P Ponugoti, M.D.

  • Ophthalmology Physician
  • Terre Haute, IN
  • NPI 1952419004
  Medicare reassignment Care Compare group NPD
• John Rex Parent, M.D.

  • Ophthalmology Physician
  • Fort Wayne, IN
  • NPI 1275545873
  Authorized official Same address or phone

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1174858112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E WAYNE ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022713",
            "telephone_number": "260-424-5656",
            "fax_number": "260-424-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E WAYNE ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022713",
            "telephone_number": "260-424-5656",
            "fax_number": "260-424-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE CENTER OF FORT WAYNE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "PARENT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "REX",
        "authorized_official_title_or_position": "PHYSICIAN /OWNER",
        "authorized_official_telephone_number": "260-424-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Health and Hospital Corporation of Marion County (Grey Stone Health & Rehabilitation Center)

• Ophthalmology Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.