Organization Active NPI

Hoosier Ophthalmology Associates, P.C.

  • Ophthalmology Physician
  • Anderson, IN
National Provider Identifier
1265539423
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01020462A Issued in IN
Legal business name
HOOSIER OPHTHALMOLOGY ASSOCIATES, P.C.
Practice address
1628 Medical Arts Blvd
Anderson, IN 46011-3441
Phone
(765) 649-5221
Fax
(765) 649-1537
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
Dr. Y. S. Yang, M.D.
Title
Owner
Phone
(765) 649-5221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 01020462A IN Primary

Addresses

Primary practice location

1628 Medical Arts Blvd
Anderson, IN 46011-3441

Mailing address

1628 Medical Arts Blvd
Anderson, IN 46011-3441
Phone (765) 649-5221

Other identifiers 1

IdentifierTypeStateIssuer
200280070AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040816000153 IN Part B Supplier - Clinic/Group Practice 0042283400 Receives reassigned benefits from 1 practitioner
Practice locations: Anderson, IN
O20100930037976 IN DME Supplier - Physician - Ophthalmology 0042283400 1 other NPI on this enrollment
Practice locations: Anderson, IN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1628 Medical Arts Blvd
Anderson, IN 46011
Phone (317) 573-5371

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1265539423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 MEDICAL ARTS BLVD",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113441",
            "telephone_number": "765-649-5221",
            "fax_number": "765-649-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 MEDICAL ARTS BLVD",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113441",
            "telephone_number": "765-649-5221",
            "fax_number": "765-649-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER OPHTHALMOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "Y.",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-649-5221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01020462A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200280070A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.