Individual provider Active NPI

Cynthia A Laycock, O. D.

  • Optometrist
  • Rochester, IN
National Provider Identifier
1366401812
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003061A Issued in IN
Practice address
2260 Main St.
Rochester, IN 46975
Phone
(574) 223-3916
Fax
(574) 223-2965
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003061A IN Primary

Addresses

Primary practice location

2260 Main St.
Rochester, IN 46975

Mailing address

PO Box 286
Rochester, IN 46975-0286
Phone (574) 223-3916

Other identifiers 1

IdentifierTypeStateIssuer
200377630MedicaidIN

Other names 1

  • Cynthia Easley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070413000193 IN Practitioner - Optometry 0042315459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Eye Consultants PC 71 clinicians

Practice addresses (Care Compare)

2260 Main St
Rochester, IN 46975-9125
Phone (574) 223-3916

301 J St
La Porte, IN 46350-4734
Phone (219) 362-8923

825 N Lincoln St
Midwest Eye Consultants 12
Greensburg, IN 47240-1330
Phone (812) 663-7222

Merit-based Incentive Payment System (MIPS)

Final score
55.99 of 100Reported as group
Quality
31.67
Improvement activities
40
Cost
78.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003061AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Consultants, P.C. Optometrist CurrentSince Jan 1, 2007 Accepting new patients
Midwest Eye Consultants, PC Optometrist CurrentSince Jan 1, 2007 Accepting new patients
Midwest Eye Consultants, P.C. Current Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients

Locations

431 W Coliseum Blvd
#2507
Fort Wayne, IN 46805

431 W Coliseum Blvd
Fort Wayne, IN 46805
Phone (260) 484-8516

825 N Lincoln St
#12
Greensburg, IN 47240
Phone (812) 663-7222

301 J St
Laporte, IN 46350
Phone (219) 326-9569

935 W Main St
Peru, IN 46970
Phone (765) 472-4344

2260 Main St
Rochester, IN 46975
Phone (574) 223-3916

1327 Main St
Rochester, IN 46975
Phone (574) 223-3916

1304 N Cass St
Wabash, IN 46992
Phone (260) 563-3655

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1366401812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 286",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469750286",
            "telephone_number": "574-223-3916",
            "fax_number": "574-223-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 MAIN ST.",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "46975",
            "telephone_number": "574-223-3916",
            "fax_number": "574-223-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYCOCK",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003061A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200377630",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "EASLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, IN

Sources for this page

Verify at the official NPI Registry.