Organization Active NPI

Greenwood Vision Care LLC

  • Optometrist
  • Greenwood, IN
National Provider Identifier
1467066811
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GREENWOOD VISION CARE LLC
Practice address
622 N Madison Ave Ste 9
Greenwood, IN 46142-4052
Phone
(317) 893-4441
Fax
(317) 893-4388
NPI assigned
Sep 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Authorized official

Name
Dr. Colin C Christie, OD
Title
Owner
Phone
(317) 987-8720

Specialties & licenses 1

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

Addresses

Primary practice location

622 N Madison Ave Ste 9
Greenwood, IN 46142-4052

Mailing address

622 N Madison Ave Ste 9
Greenwood, IN 46142-4052
Phone (317) 893-4441

National Provider Directory

National Provider Directory

Locations

622 N Madison Ave
Ste 9
Greenwood, IN 46142
Phone (317) 653-5872

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1467066811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 N MADISON AVE STE 9",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424052",
            "telephone_number": "317-893-4441",
            "fax_number": "317-893-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 N MADISON AVE STE 9",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424052",
            "telephone_number": "317-893-4441",
            "fax_number": "317-893-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-987-8720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.