Organization Active NPI

Westrick Family Eye Care P C

  • Optometrist
  • Columbia City, IN
National Provider Identifier
1376717017
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002764A Issued in IN
Legal business name
WESTRICK FAMILY EYE CARE P C
Practice address
513 N Line St
Columbia City, IN 46725-1229
Phone
(260) 244-7542
Fax
(260) 244-4638
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Dr. Joseph Gerard Westrick, OD
Title
Optometist
Phone
(260) 244-7542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18002764A IN Primary

Addresses

Primary practice location

513 N Line St
Columbia City, IN 46725-1229

Mailing address

PO Box 187
Columbia City, IN 46725-0187
Phone (260) 244-7542

Other identifiers 3

IdentifierTypeStateIssuer
000000631685OtherINBCBS
DP5455OtherINRAILROAD MEDICARE
5213022OtherINAETNA

National Provider Directory

National Provider Directory

Locations

513 N Line St
Columbia City, IN 46725
Phone (260) 244-7542

236 Frontage Rd
Columbia City, IN 46725
Phone (206) 244-7542

Practitioners & affiliated clinicians

Practitioners 8

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": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1376717017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467250187",
            "telephone_number": "260-244-7542",
            "fax_number": "260-244-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 N LINE ST",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251229",
            "telephone_number": "260-244-7542",
            "fax_number": "260-244-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTRICK FAMILY EYE CARE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "WESTRICK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "OPTOMETIST",
        "authorized_official_telephone_number": "260-244-7542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002764A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000631685",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP5455",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5213022",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.