NPIMap

Organization Active NPI

Christopher R. Prather Optometrist PC

  • Optometrist
  • Noblesville, IN
National Provider Identifier
1275939654
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
IN18003252A Issued in IN
Legal business name
CHRISTOPHER R. PRATHER OPTOMETRIST PC
Practice address
5540 Pebble Village LN
Suite 200
Noblesville, IN 46062-7410
Phone
(317) 804-1400
NPI assigned
Nov 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Authorized official

Name
Dr. Christopher R Prather, O.D.NPI 1326008194
Title
President
Phone
(317) 804-1400

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X IN18003252A IN Primary

Addresses

Primary practice location

5540 Pebble Village LN
Suite 200
Noblesville, IN 46062-7410

Mailing address

168 Berkshire LN
Noblesville, IN 46062-9305
Phone (317) 804-1400

Other names 1

  • Prather Family Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141215001637 IN Part B Supplier - Clinic/Group Practice 6709108186 Receives reassigned benefits from 3 practitioners
Practice locations: Noblesville, IN

National Provider Directory

National Provider Directory

Locations

17736 Village Center Dr
#102
Noblesville, IN 46062
Phone (317) 804-1400

Practitioners & affiliated clinicians

Practitioners 3

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": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1275939654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 BERKSHIRE LN",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460629305",
            "telephone_number": "317-804-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 PEBBLE VILLAGE LN",
            "address_2": "SUITE 200",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627410",
            "telephone_number": "317-804-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER R. PRATHER OPTOMETRIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "PRATHER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-804-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "IN18003252A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prather Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.