Active NPI
Adam Christopher Alexander, O.D.
- Optometrist
- Lafayette, IN
National Provider Identifier
1366828006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003928A
- Practice address
- 14 Professional CT
Lafayette, IN 47905-5152 - Phone
- (765) 447-5083
- NPI assigned
- Aug 5, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18003928A | IN | Primary |
Addresses
Primary practice location
14 Professional CT
Lafayette, IN 47905-5152
Mailing address
9795 Crosspoint Blvd
Ste 100
Indianapolis, IN 46256-3354
Phone (317) 254-6480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18003928A | IN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443657600000",
"number": "1366828006",
"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": "14 PROFESSIONAL CT",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479055152",
"telephone_number": "765-447-5083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "ADAM",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-05",
"last_updated": "2015-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003928A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.