NPIMap

Organization Active NPI

City Optical Co., Inc.

  • Optometrist
  • Fishers, IN
National Provider Identifier
1366274235
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CITY OPTICAL CO., INC.
Practice address
12676 E 116TH St
Fishers, IN 46037-7602
Phone
(317) 924-1300
NPI assigned
Aug 19, 2024
Last updated
Jul 22, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CITY OPTICAL CO., INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Tracey Murphy
Title
Credentialing
Phone
(317) 924-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

12676 E 116TH St
Fishers, IN 46037-7602

Mailing address

2839 Lafayette Rd
Indianapolis, IN 46222-2147
Phone (317) 924-1300

Other identifiers 1

IdentifierTypeStateIssuer
300097197MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128000867 IN Part B Supplier - Clinic/Group Practice 5597668574 Receives reassigned benefits from 58 practitioners
29 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Indianapolis, IN; Kokomo, IN; Lebanon, IN; Martinsville, IN; Merrillville, IN; Mooresville, IN; Muncie, IN; New Castle, IN…

Other NPIs on the same Medicare enrollment 29

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 29

National Provider Directory

National Provider Directory
Tax ID family
City Optical Co Inc26 organizations share this tax ID, including this one
Part of
City Optical Co Inc

Other organizations with this tax ID 25

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

View all 25

Locations

5541 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 644-3393

8725 US 31
Indianapolis, IN 46227
Phone (317) 881-6708

2438 N Lebanon St
Ste 1150
Lebanon, IN 46052

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1366274235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 LAFAYETTE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462222147",
            "telephone_number": "317-924-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12676 E 116TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377602",
            "telephone_number": "317-924-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OPTICAL CO., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OPTICAL CO., INC.",
        "enumeration_date": "2024-08-19",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "317-924-1300"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300097197",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.