Organization Active NPI

Eyecare Express

  • Optometrist
  • Elkhart, IN
National Provider Identifier
1285151985
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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 EXPRESSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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.

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.

Verify at the official NPI Registry.