Active NPI
Marcia J. Monroe,O.D.,Inc
- Optometrist
- Seymour, IN
National Provider Identifier
1346422474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002155B
- Legal business name
- MARCIA J. MONROE,O.D.,INC
- Practice address
- 915 W Brown St
Seymour, IN 47274-2715 - Phone
- (812) 522-8777
- Fax
- (812) 524-0042
- NPI assigned
- Nov 30, 2007
- Last updated
- Nov 8, 2019
- 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
- Marcia J. Monroe,O.D.,Inc, O.D.
- Title
- President
- Phone
- (812) 522-8777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002155B | IN | Primary |
Addresses
Primary practice location
915 W Brown St
Seymour, IN 47274-2715
Mailing address
915 W Brown St
Seymour, IN 47274-2715
Phone (812) 522-8777
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200390280A | Medicaid | IN | |
| 193260A | Other | IN | MEDICARE |
| HO9075 | Other | IN | ARNETT CLARION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
114 Executive Dr
Ste C
Lafayette, IN 47905
Phone (765) 442-1775
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Seymour, IN
- NPI 1073637815
-
- Ophthalmology Physician
- Greenwood, IN
- NPI 1740488378
-
- Optometrist
- Indianapolis, IN
- NPI 1689651275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573171200000",
"number": "1346422474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 W BROWN ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742715",
"telephone_number": "812-522-8777",
"fax_number": "812-524-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 W BROWN ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742715",
"telephone_number": "812-522-8777",
"fax_number": "812-524-0042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARCIA J. MONROE,O.D.,INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-30",
"last_updated": "2019-11-08",
"status": "A",
"authorized_official_last_name": "MONROE,O.D.,INC",
"authorized_official_first_name": "MARCIA",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-522-8777",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IN",
"license": "18002155B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200390280A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "193260A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNETT CLARION",
"identifier": "HO9075",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.