Active NPI
Atchison Eyecare, Inc
- Optometrist
- Bedford, IN
National Provider Identifier
1275958381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- ATCHISON EYECARE, INC
- Practice address
- 1537 J St
Bedford, IN 47421-3839 - Phone
- (812) 675-0890
- Fax
- (812) 675-0891
- NPI assigned
- Feb 26, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alison P Atchison, OD
- Title
- Owner/Optometrist
- Phone
- (812) 675-0890
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Corneal and Contact Management Optometrist | 152WC0802X | 18003679A | IN |
Addresses
Primary practice location
1537 J St
Bedford, IN 47421-3839
Mailing address
1537 J St
Bedford, IN 47421-3839
Phone (812) 675-0890
Other names 1
- Atchison Eyecare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140407001599 | IN | Part B Supplier - Clinic/Group Practice | 3971735945 |
Receives reassigned benefits from 2 practitioners Practice locations: Bedford, IN |
| O20160830002590 | IN | DME Supplier - Physician - Optometrist | 3971735945 | Practice locations: Bedford, IN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2230142 | Atchison Eyecare, Inc | Certificate of waiver | Jul 19, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Atchison Eyecare Inc | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1537 J St
Bedford, IN 47421
Phone (812) 675-0890
Practitioners & affiliated clinicians
Practitioners 2
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": "1393372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393372800000",
"number": "1275958381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1537 J ST",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474213839",
"telephone_number": "812-675-0890",
"fax_number": "812-675-0891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1537 J ST",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474213839",
"telephone_number": "812-675-0890",
"fax_number": "812-675-0891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATCHISON EYECARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-26",
"last_updated": "2014-02-26",
"status": "A",
"authorized_official_last_name": "ATCHISON",
"authorized_official_first_name": "ALISON",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER/OPTOMETRIST",
"authorized_official_telephone_number": "812-675-0890",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "IN",
"license": "18003679A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Atchison Eyecare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bedford, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.