South Gibson Eyecare Associates, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SOUTH GIBSON EYECARE ASSOCIATES, LLC

Practice address

831 S 9TH Ave
Haubstadt, IN 47639-8244

Phone

(812) 615-0277

NPI assigned

Nov 23, 2011

Last updated

Jan 13, 2012By 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

Jeffrey D Irvin, ODNPI 1013025683

Title

Owner

Phone

(812) 401-7777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 5

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.

• Jeffrey D. Irvin, O.D.

  • Optometrist
  • Evansville, IN
  • NPI 1013025683
  Medicare reassignment Care Compare group NPD Authorized official
• James C. Bigham, O.D.

  • Optometrist
  • Evansville, IN
  • NPI 1528053113
  Medicare reassignment Care Compare group NPD
• Caleb Hunter Chesnut, OD

  • Optometrist
  • Evansville, IN
  • NPI 1356073662
  Medicare reassignment Care Compare group NPD
• Hannah M Powers, OD

  • Optometrist
  • Evansville, IN
  • NPI 1245750785
  Medicare reassignment Care Compare group NPD
• Heather R Russ, O.D.

  • Optometrist
  • Evansville, IN
  • NPI 1770894222
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1407123128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 S 9TH AVE",
            "city": "HAUBSTADT",
            "state": "IN",
            "postal_code": "476398244",
            "telephone_number": "812-615-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 S 9TH AVE",
            "city": "HAUBSTADT",
            "state": "IN",
            "postal_code": "476398244",
            "telephone_number": "812-615-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GIBSON EYECARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "IRVIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-401-7777",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Nicholas Kyle
• Timothy W. Nurrenbern, L.A.T., A.,T.C.
• Physicians' Health Group, LLC (Richard Gries M.D.)
• Laci Potts
• Prorehab Inc
• Speech Solutions LLC
• St. Mary's Physicians' Health Group, LLC (Haubstadt Family Medicine)
• St. Mary's Physicians' Health Group,LLC (Richard Gries, M.D.)
• Kimberly Ann Steckler, DDS
• TCS Inc (Haubstadt Pharmacy)

• Optometrist in Haubstadt, IN
• Providers in Haubstadt, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.