City Optical Co., Inc.
Organization Active NPI Optometrist · Indianapolis, IN
NPI 1447799226 · NPPES record last updated Oct 27, 2021
Key facts
- NPI
- 1447799226
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- CITY OPTICAL CO., INC.
- Practice address
- 4916 S Emerson Ave
Indianapolis, IN 46203-5937 - Phone
- (317) 924-1300
- NPI assigned
- Feb 14, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Lawrence S Tavel, MD
- Title
- Ceo
- Phone
- (317) 924-1300
Other NPIs on the same Medicare enrollment 29
Corporate family (same tax ID) 25
Practitioners 1
-
Anna Slemp, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040128000867 | IN | Part B Supplier - Clinic/Group Practice | 5597668574 |
Receives reassigned benefits from 58 practitioners 29 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Indianapolis, IN; Kokomo, IN; Lebanon, IN; Martinsville, IN; Merrillville, IN; Mooresville, IN; Muncie, IN; New Castle, IN… |
National Provider Directory
- Tax ID family
- City Optical Company
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | IN | Yes |
Addresses
Primary practice location
4916 S Emerson Ave
Indianapolis, IN 46203-5937
Mailing address
2839 Lafayette Rd
Indianapolis, IN 46222-2147
Phone (317) 924-1300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197360 | Other | IN | MEDICARE |
| 300000372 | Medicaid | IN |
Other names
- Dr.Tavel Family Eye Care
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.