Dearborn Optical, Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

DEARBORN OPTICAL, INC

Practice address

694 W Eads Pkwy
Lawrenceburg, IN 47025-1171

Phone

(812) 537-4733

Fax

(812) 537-3934

NPI assigned

Apr 25, 2006

Organization subpart

No

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

Authorized official

Name

Jenny S. Bradshaw

Title

Office Manager

Phone

(812) 537-4733

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey James Ahaus, O.D.

  • Optometrist
  • Lawrenceburg, IN
  • NPI 1023075900
  Medicare reassignment NPD
• Michael Andrew Bradshaw, OPTICIAN

  • Optician
  • Lawrenceburg, IN
  • NPI 1215994074
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1194781336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 W EADS PKWY",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251171",
            "telephone_number": "812-537-4733",
            "fax_number": "812-537-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 W EADS PKWY",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251171",
            "telephone_number": "812-537-4733",
            "fax_number": "812-537-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "812-537-4733"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dearborn County Hospital
• Dearborn County Hospital
• Dearborn County Hospital Woundcare
• Dearborn County Surgery PC
• Dearborn Hearing Care LLC
• Michael T, Del Re, DPT
• Geneva Dellecave
• Amy Elizabeth Demoss, LMHC
• Rebeca Ann Demoss, CNP
• Brianna Marie Depue

• Optician in Lawrenceburg, IN
• Providers in Lawrenceburg, IN by specialty
• Optician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.