Organization Active NPI

Laporte Family Vision Inc

  • Optometrist
  • La Porte, IN
National Provider Identifier
1356447007
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002633 A & B Issued in IN
Legal business name
LAPORTE FAMILY VISION INC
Practice address
1231 N State Road 39
La Porte, IN 46350-2042
Phone
(219) 326-7681
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Dr. Pamela J Heyne-Thompson, O.D.
Title
Owner & President
Phone
(219) 326-7681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18002633 A & B IN Primary

Addresses

Primary practice location

1231 N State Road 39
La Porte, IN 46350-2042

Mailing address

1231 N State Road 39
La Porte, IN 46350-2042
Phone (219) 326-7681

Other identifiers 1

IdentifierTypeStateIssuer
247510OtherINPTAN

National Provider Directory

National Provider Directory

Locations

1231 N State Road 39
Laporte, IN 46350
Phone (219) 326-7681

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1356447007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 N STATE ROAD 39",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463502042",
            "telephone_number": "219-326-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 N STATE ROAD 39",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463502042",
            "telephone_number": "219-326-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPORTE FAMILY VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "HEYNE-THOMPSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER & PRESIDENT",
        "authorized_official_telephone_number": "219-326-7681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002633 A & B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "247510",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.