South Grove Eye Care, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

56000358A Issued in IN

Legal business name

SOUTH GROVE EYE CARE, PC

Practice address

373 Meridian Parke LN Ste E
Greenwood, IN 46142-9419

Phone

(317) 535-3905

Fax

(317) 886-4945

NPI assigned

Aug 5, 2006

Last updated

Jul 2, 2021By 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. Regina R. Harvey, O.D.NPI 1245228097

Title

President

Phone

(317) 535-3935

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 8

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.

• Regina R Harvey, O.D.

  • Optometrist
  • Greenwood, IN
  • NPI 1245228097
  Medicare reassignment Care Compare group NPD Authorized official
• Abbey C Hoffman, OD

  • Optometrist
  • Greenwood, IN
  • NPI 1568457810
  Medicare reassignment Care Compare group NPD
• Elizabeth R Engle, AUD

  • Audiologist
  • Indianapolis, IN
  • NPI 1881263754
  NPD (past)
• Nancy M George, AU.D.

  • Audiologist
  • Indianapolis, IN
  • NPI 1497743272
  NPD (past)
• Sarah Jewel Gurnik, AUD

  • Audiologist
  • Indianapolis, IN
  • NPI 1952961591
  NPD (past)
• Brooke E Hesson, CCC-A

  • Audiologist
  • Indianapolis, IN
  • NPI 1669006284
  NPD (past)
• Jessica Ann James, AUD

  • Audiologist
  • Greenwood, IN
  • NPI 1891311072
  NPD (past)
• Olivia L Patterson, AUD

  • Audiologist
  • Indianapolis, IN
  • NPI 1265000525
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1407865769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 MERIDIAN PARKE LN STE E",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429419",
            "telephone_number": "317-535-3905",
            "fax_number": "317-535-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 MERIDIAN PARKE LN STE E",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429419",
            "telephone_number": "317-535-3905",
            "fax_number": "317-886-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GROVE EYE CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-535-3935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "56000358A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Sopoci
• Jeffrey James Sorg, MS, PT
• Shauna McDaniel Sorrell, M.A., CCC-SLP
• Kalee Sotelo, RBT
• Dararaeksmey Soun
• Rebecca South, RBT
• Southside Center for Sight
• Southside Eye Center, P.C.
• Southside Foot Clinic P C
• Southside Pulmonary & Sleep Consultants, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.