NPIMap

Organization Active NPI

Eyecare Indiana, P.C.

  • Optometrist
  • Greenwood, IN
National Provider Identifier
1366701880
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001705A Issued in IN
Legal business name
EYECARE INDIANA, P.C.
Practice address
2550 S State Road 135
Ste 104
Greenwood, IN 46143-6386
Phone
(317) 535-4049
Fax
(317) 259-8609
NPI assigned
May 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Mr. Gregg L Ossip, OD
Title
Owner
Phone
(317) 254-6480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18001705A IN Primary

Addresses

Primary practice location

2550 S State Road 135
Ste 104
Greenwood, IN 46143-6386

Mailing address

9795 Crosspoint Blvd
Ste 100
Indianapolis, IN 46256-3354
Phone (317) 254-6480

Other names 1

  • Kercheval Eye Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eyecare Indiana6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

2550 S State Road 135
Ste 104
Greenwood, IN 46143
Phone (317) 535-4049

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1366701880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9795 CROSSPOINT BLVD",
            "address_2": "STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563354",
            "telephone_number": "317-254-6480",
            "fax_number": "317-259-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S STATE ROAD 135",
            "address_2": "STE 104",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436386",
            "telephone_number": "317-535-4049",
            "fax_number": "317-259-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE INDIANA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "OSSIP",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-254-6480",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001705A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kercheval Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.