NPIMap

Organization Active NPI

Dr Tavel of Evansville, LLC

Doing business as Dr Tavel's Family Eye Care

  • Optometrist
  • Evansville, IN
National Provider Identifier
1205825700
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003203 Issued in IN
Legal business name
DR TAVEL OF EVANSVILLE, LLC
Doing business as
Dr Tavel's Family Eye Care
Practice address
139 Burkhardt Road
Evansville, IN 47715
Phone
(812) 473-3730
Fax
(317) 924-3741
NPI assigned
Oct 18, 2005
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
DR TAVEL OF EVANSVILLE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Larry Tavel, MD
Title
President
Phone
(317) 924-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003203 IN Primary

Addresses

Primary practice location

139 Burkhardt Road
Evansville, IN 47715

Mailing address

2839 Lafayette Rd
Indianapolis, IN 46222-2147
Phone (317) 924-1300

Other names 1

  • Dr Tavel's Family Eye Care Doing business as

National Provider Directory

National Provider Directory
Part of
Doctor Tavels Optical

Locations

139 N Burkhardt Rd
Evansville, IN 47715
Phone (812) 473-3730

139 N Burkhardt Rd
#C
Evansville, IN 47715
Phone (812) 473-3730

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1205825700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 LAFAYETTE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462222147",
            "telephone_number": "317-924-1300",
            "fax_number": "317-924-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 BURKHARDT ROAD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47715",
            "telephone_number": "812-473-3730",
            "fax_number": "317-924-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TAVEL OF EVANSVILLE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR TAVEL OF EVANSVILLE, LLC",
        "enumeration_date": "2005-10-18",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "TAVEL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-924-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Tavel's Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.