Midwest Optometry Services LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MIDWEST OPTOMETRY SERVICES LLC

Practice address

2852 E 3Rd St SPC L07
Bloomington, IN 47401-5423

Phone

(812) 334-1872

NPI assigned

Oct 3, 2022

Organization subpart

No

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

Authorized official

Name

Christopher Emmons, OD

Title

Member

Phone

(317) 841-0712

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1356065478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 E GREYHOUND PASS STE 4",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337753",
            "telephone_number": "317-841-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2852 E 3RD ST SPC L07",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015423",
            "telephone_number": "812-334-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST OPTOMETRY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-02",
        "status": "A",
        "authorized_official_last_name": "EMMONS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "317-841-0712",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.