Mooresville Family Eyecare, PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1250520001 Issued in IN

Legal business name

MOORESVILLE FAMILY EYECARE, PC

Practice address

258 E High St
Mooresville, IN 46158-1638

Phone

(317) 831-0725

Fax

(317) 831-0734

NPI assigned

Jun 13, 2008

Last updated

Aug 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael D Miller, ODNPI 1952325870

Title

President

Phone

(317) 831-0725

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

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.

• Michael Dwayne Miller, O.D.

  • Optometrist
  • Mooresville, IN
  • NPI 1952325870
  Medicare reassignment Care Compare group NPD Authorized official
• Carmen N. Bullock, O. D.

  • Optometrist
  • Plainfield, IN
  • NPI 1437108685
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1396905204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 E HIGH ST",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581638",
            "telephone_number": "317-831-0725",
            "fax_number": "317-831-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 E HIGH ST",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581638",
            "telephone_number": "317-831-0725",
            "fax_number": "317-831-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORESVILLE FAMILY EYECARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-831-0725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IN",
            "license": "1250520001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Monday, NP
• Mooresville Consolidated School C Orp.
• Mooresville Dental Acquisition
• Mooresville Endoscopy Center LLC
• Mooresville Family Dentistry
• Mooresville Pediatric Dentistry PC
• Morgan County Family Dental LLC
• Tamara June Morrison - Barnett, FNP
• James Michael Murrell, MD
• Jinny Myers

• Eyewear Supplier in Mooresville, IN
• Providers in Mooresville, IN by specialty
• Eyewear Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.