Active NPI
Eyecare Express
- Optometrist
- Elkhart, IN
National Provider Identifier
1285151985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- EYECARE EXPRESS
- Practice address
- 205 County Road 6 E Ste P
Elkhart, IN 46514-5583 - Phone
- (574) 264-2021
- NPI assigned
- Aug 24, 2017
- Organization subpart
- Yes
- Parent organization
- EYECARE EXPRESS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Shawnda Taylor
- Title
- Doctor Tech/Optician
- Phone
- (260) 482-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
205 County Road 6 E Ste P
Elkhart, IN 46514-5583
Mailing address
205 County Road 6 E Ste P
Elkhart, IN 46514-5583
Phone (574) 264-2021
National Provider Directory
National Provider Directory- Part of
- Eyecare Express
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Eyewear Supplier
- Fort Wayne, IN
- NPI 1528584562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1285151985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 COUNTY ROAD 6 E STE P",
"city": "ELKHART",
"state": "IN",
"postal_code": "465145583",
"telephone_number": "574-264-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 COUNTY ROAD 6 E STE P",
"city": "ELKHART",
"state": "IN",
"postal_code": "465145583",
"telephone_number": "574-264-2021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYECARE EXPRESS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EYECARE EXPRESS",
"enumeration_date": "2017-08-24",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "SHAWNDA",
"authorized_official_title_or_position": "DOCTOR TECH/OPTICIAN",
"authorized_official_telephone_number": "260-482-2020",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.