Organization Active NPI

Atchison Eyecare, Inc

  • Optometrist
  • Bedford, IN
National Provider Identifier
1275958381
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Alison P Atchison, ODNPI 1285921296
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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140407001599 IN Part B Supplier - Clinic/Group Practice 3971735945 Receives reassigned benefits from 2 practitioners
Practice locations: Bedford, IN
O20160830002590 IN DME Supplier - Physician - OptometristDME Supplier - Optician 3971735945 Practice locations: Bedford, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2230142Atchison Eyecare, Inc1537 J St, Bedford, IN 47421Certificate of waiverJul 19, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Atchison Eyecare Inc1537 J St, Bedford, IN 47421-3839(812) 675-0890 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Mar 1, 2014

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.