Organization Active NPI

Central Indiana Eye Institute PC

  • Clinic/Center
  • Kokomo, IN
National Provider Identifier
1356348197
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CENTRAL INDIANA EYE INSTITUTE PC
Practice address
1601 W Lincoln Rd
Kokomo, IN 46902-3275
Phone
(765) 453-5696
Fax
(765) 455-4323
NPI assigned
Jul 7, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alan Richard Crebo, M.D.NPI 1013914845
Title
President
Phone
(765) 453-5696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1601 W Lincoln Rd
Kokomo, IN 46902-3275

Mailing address

PO Box 6550
Kokomo, IN 46904-6550
Phone (765) 453-5696

National Provider Directory

National Provider Directory

Locations

1533 W Lincoln Rd
Kokomo, IN 46902
Phone (317) 453-5696

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356348197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6550",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469046550",
            "telephone_number": "765-453-5696",
            "fax_number": "765-455-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W LINCOLN RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023275",
            "telephone_number": "765-453-5696",
            "fax_number": "765-455-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL INDIANA EYE INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CREBO",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-453-5696",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.