NPIMap

First Impressions Optometric Associates, LLC

Organization Active NPI Eyewear Supplier · Avon, IN

NPI 1205596996 · NPPES record last updated Dec 22, 2021

Key facts

NPI
1205596996
Entity type
Organization (NPI type 2)
Primary specialty
Eyewear Supplier 332H00000X
Legal business name
FIRST IMPRESSIONS OPTOMETRIC ASSOCIATES, LLC
Practice address
10447 E US Highway 36
Avon, IN 46123-7989
Phone
(317) 273-1702
NPI assigned
Dec 22, 2021
Organization subpart
No

Authorized official

Name
Aja Bowling, OD NPI 1255667481
Title
Owner
Phone
(726) 444-4078

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 34

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

View all 34

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
First Impressions Optometric Assoc
10447 E US Hwy 36, Avon, IN 46123-7989 · (317) 273-1702		 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignment
Participating since Feb 6, 2022

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220331002882 IN DME Supplier - Physician - Optometrist 6800281825 Practice locations: Avon, IN

National Provider Directory

Tax ID family
First Impressions Assoc LLC (16 organizations share this tax ID)

Locations

11781 Commercial Dr
Fishers, IN 46038
Phone (317) 513-3234

1825 E 80th Ave
Merrillville, IN 46410
Phone (219) 791-0951

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Yes

Addresses

Primary practice location

10447 E US Highway 36
Avon, IN 46123-7989

Mailing address

175 E Houston St
San Antonio, TX 78205-2255
Phone (726) 444-4078

Other providers in Avon, IN

All providers in Avon, IN · Eyewear Supplier in Indiana

Sources for this page

Verify at the official NPI Registry.