Association of Family Optometrists,PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002063B Issued in IN

Legal business name

ASSOCIATION OF FAMILY OPTOMETRISTS,PC

Practice address

301 E Carmel Dr
Suite F-300
Carmel, IN 46032-2888

Phone

(317) 848-4041

NPI assigned

Feb 14, 2008

Last updated

Dec 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerrell Simmerman, ODNPI 1083754741

Title

President

Phone

(317) 418-5509

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, and the practitioner matching its NPPES authorized official.

• Jerrell S. Simmerman, O.D.

  • Optometrist
  • Carmel, IN
  • NPI 1083754741
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1225206113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E CARMEL DR",
            "address_2": "SUITE F-300",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CARMEL DR",
            "address_2": "SUITE F-300",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322888",
            "telephone_number": "317-848-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATION OF FAMILY OPTOMETRISTS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "SIMMERMAN",
        "authorized_official_first_name": "JERRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-418-5509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002063B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Atkinson Family Dental
• Kimberly Dawn Atkinson, COTA
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• Optometrist in Carmel, IN
• Providers in Carmel, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.