NPIMap

Organization Active NPI

The Trustees of Indiana University

  • Optometrist
  • Bloomington, IN
National Provider Identifier
1356675540
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
THE TRUSTEES OF INDIANA UNIVERSITY
Practice address
800 E Atwater Ave
Bloomington, IN 47405-3635
Phone
(812) 856-5602
Fax
(812) 855-6116
NPI assigned
Sep 22, 2009
Last updated
Sep 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Dr. Douglas G. Horner, O.D.
Title
Director of Clinical Administration
Phone
(812) 855-4447

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X
Low Vision Rehabilitation OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WL0500X
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X
Sports Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WS0006X
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X
Occupational Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WX0102X

Addresses

Primary practice location

800 E Atwater Ave
Bloomington, IN 47405-3635

Mailing address

800 E Atwater Ave
Bloomington, IN 47405-3635
Phone (812) 856-5602

Other names 1

  • I.U. School of Optometry Other name

National Provider Directory

National Provider Directory
Tax ID family
Indianapolis Eye Care C27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1356675540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E ATWATER AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474053635",
            "telephone_number": "812-856-5602",
            "fax_number": "812-855-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E ATWATER AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474053635",
            "telephone_number": "812-856-5602",
            "fax_number": "812-855-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TRUSTEES OF INDIANA UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "HORNER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL ADMINISTRATION",
        "authorized_official_telephone_number": "812-855-4447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I.U. School of Optometry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.