Fishers Eye Care Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FISHERS EYE CARE OPTOMETRY LLC

Practice address

11559 Cumberland Rd Ste 300
Fishers, IN 46037-9787

Phone

(317) 594-5000

NPI assigned

May 18, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jillian J Pall, ODNPI 1659626976

Title

Owner

Phone

(317) 594-5000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jillian J Pall, OD

  • Optometrist
  • Fishers, IN
  • NPI 1659626976
  Medicare reassignment NPD Authorized official
• Denise Cote Lashell, O.D.

  • Optometrist
  • Anderson, IN
  • NPI 1124149992
  Medicare reassignment NPD
• Nicholas Leroy Wolf, O.D.

  • Optometrist
  • Louisville, KY
  • NPI 1902061849
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1295357879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11559 CUMBERLAND RD STE 300",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379787",
            "telephone_number": "317-594-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11559 CUMBERLAND RD STE 300",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379787",
            "telephone_number": "317-594-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHERS EYE CARE OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "PALL",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-594-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fishers Ambulatory Surgery Center, LLC
• Fishers Care LLC
• Fishers Clinic and Med Spa LLC
• Fishers Dental Care, P.C.
• Fishers Digestive Care
• Fishers Eye Care, LLC
• Fishers Family Dental, LLC
• Fishers Family Dentistry, PC
• Fishers Family Physicians
• Fishers Family Vision Center Inc

• Optometrist in Fishers, IN
• Providers in Fishers, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.