Organization Active NPI

Darla Heck Sacopulos PC

  • Optometrist
  • Terre Haute, IN
National Provider Identifier
1477965192
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002508A Issued in IN
Legal business name
DARLA HECK SACOPULOS PC
Practice address
4949 E Poplar Dr
Terre Haute, IN 47803-2434
Phone
(812) 872-2020
Fax
(812) 872-2020
NPI assigned
May 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Darla Heck Sacopulos, ODNPI 1124139787
Title
Owner
Phone
(812) 872-2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18002508A IN Primary

Addresses

Primary practice location

4949 E Poplar Dr
Terre Haute, IN 47803-2434

Mailing address

4949 E Poplar Dr
Terre Haute, IN 47803-2434
Phone (812) 872-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050518000208 IN Part B Supplier - Clinic/Group Practice 6901847169 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Terre Haute, IN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4949 E Poplar Dr
Terre Haute, IN 47803
Phone (812) 872-2020

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1477965192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 E POPLAR DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478032434",
            "telephone_number": "812-872-2020",
            "fax_number": "812-872-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 E POPLAR DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478032434",
            "telephone_number": "812-872-2020",
            "fax_number": "812-872-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARLA HECK SACOPULOS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "HECK SACOPULOS",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-872-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002508A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.