Noble Eyes, P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NOBLE EYES, P.C.

Practice address

13300 Tegler Dr.
Suite 110
Noblesville, IN 46060

Phone

(317) 770-8274

NPI assigned

Oct 10, 2018

Organization subpart

No

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

Authorized official

Name

Eustacia Bergdoll, OD

Title

President

Phone

(317) 770-8274

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

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

• Eustacia M Imler, OD

  • Optometrist
  • Noblesville, IN
  • NPI 1528123452
  Medicare reassignment NPD

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1205301769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10406 TRILLIUM CT",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460606761",
            "telephone_number": "317-770-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 TEGLER DR.",
            "address_2": "SUITE 110",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "46060",
            "telephone_number": "317-770-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE EYES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "BERGDOLL",
        "authorized_official_first_name": "EUSTACIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-770-8274",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nhi H Nguyen
• Jennifer Lynne Niehoff
• Carlie Niezer, CCC-SLP
• Patricia D Nikolov, PMHNP
• Noble Creek Family Denitstry LLC
• Noblesville Assisted Living Group, LLC (Heritage Woods of Noblesville)
• Noblesville Dental Associates LLC
• Noblesville Dental Clinic, Inc.
• Noblesville Family Chiropractic, LTD (Noblesville Family Chiropractic)
• Noblesville Family Dentistry

• Clinic/Center in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.