NPIMap

First Impressions Optometric Associates, LLC

Organization Active NPI Eyewear Supplier · Carmel, IN

NPI 1467112052 · NPPES record last updated Dec 22, 2021

Key facts

NPI
1467112052
Entity type
Organization (NPI type 2)
Primary specialty
Eyewear Supplier 332H00000X
Legal business name
FIRST IMPRESSIONS OPTOMETRIC ASSOCIATES, LLC
Practice address
1950 E Greyhound Pass Ste 2
Carmel, IN 46033-7788
Phone
(317) 569-0860
NPI assigned
Dec 22, 2021
Organization subpart
No

Authorized official

Name
Aja Bowling, OD NPI 1255667481
Title
Owner
Phone
(726) 444-4078

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
First Impressions Optometric Associ
1950 E Greyhound Pass, Carmel, IN 46033-7788 · (317) 569-0860		 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignment
Participating since Feb 6, 2022

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220331002962 IN DME Supplier - Physician - Optometrist 6800281825 Practice locations: Carmel, IN

National Provider Directory

Tax ID family
First Impressions Assoc LLC (16 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Yes

Addresses

Primary practice location

1950 E Greyhound Pass Ste 2
Carmel, IN 46033-7788

Mailing address

175 E Houston St
San Antonio, TX 78205-2255

Other providers in Carmel, IN

All providers in Carmel, IN · Eyewear Supplier in Indiana

Sources for this page

Verify at the official NPI Registry.