Organization Active NPI

Southside Eye Associates

  • Optician
  • Indianapolis, IN
National Provider Identifier
1194865337
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
01033557A
Legal business name
SOUTHSIDE EYE ASSOCIATES
Practice address
6423 S East St
Indianapolis, IN 46227-2100
Phone
(317) 782-8985
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Lorilee Krohne
Title
Optician
Phone
(317) 782-8985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 01033557A Primary

Addresses

Primary practice location

6423 S East St
Indianapolis, IN 46227-2100

Mailing address

6423 S East St
Indianapolis, IN 46227-2100

National Provider Directory

National Provider Directory

Locations

6423 S East St
Indianapolis, IN 46227
Phone (317) 782-8844

Practitioners & affiliated clinicians

Practitioners 1

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1194865337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6423 S EAST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6423 S EAST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272100",
            "telephone_number": "317-782-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "KROHNE",
        "authorized_official_first_name": "LORILEE",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "317-782-8985"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": "01033557A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.