Mec Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002694AB Issued in IN

Legal business name

MEC OPTOMETRY LLC

Doing business as

Monticello Eye Center

Practice address

501 W Broadway St
Monticello, IN 47960-2006

Phone

(574) 583-9311

Fax

(574) 583-4939

NPI assigned

Feb 27, 2017

Organization subpart

No

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

Authorized official

Name

Michelle Kyser, OD

Title

Owner/Manager

Phone

(574) 583-9311

Specialties & licenses 1

Addresses

Other names 1

• Monticello Eye Center Doing business as

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1356881262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W BROADWAY ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602006",
            "telephone_number": "574-583-9311",
            "fax_number": "574-583-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W BROADWAY ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602006",
            "telephone_number": "574-583-9311",
            "fax_number": "574-583-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEC OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "KYSER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "574-583-9311",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002694AB",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monticello Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Monticello, IN
• Providers in Monticello, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.