NPIMap

Organization Active NPI

Glaucoma Center Inc

  • Ophthalmology Physician
  • Muncie, IN
National Provider Identifier
1497082598
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01039897A Issued in IN
Legal business name
GLAUCOMA CENTER INC
Practice address
3700 N Everbrook LN
Muncie, IN 47304-5269
Phone
(765) 281-1181
Fax
(765) 282-4768
NPI assigned
Nov 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Ajit K Tiwari, MDNPI 1205929510
Title
Owner
Phone
(765) 281-1181

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 01039897A IN Primary

Addresses

Primary practice location

3700 N Everbrook LN
Muncie, IN 47304-5269

Mailing address

3700 N Everbrook LN
Muncie, IN 47304-5269
Phone (765) 281-1181

Other identifiers 3

IdentifierTypeStateIssuer
100094420EMedicaidIN
000000219038OtherANTHEM
666840OtherMEDICARE PTN

National Provider Directory

National Provider Directory

Locations

3700 N Everbrook Ln
Muncie, IN 47304
Phone (765) 281-1181

Practitioners & affiliated clinicians

Practitioners 5

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": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1497082598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 N EVERBROOK LN",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045269",
            "telephone_number": "765-281-1181",
            "fax_number": "765-282-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 N EVERBROOK LN",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045269",
            "telephone_number": "765-281-1181",
            "fax_number": "765-282-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUCOMA CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "TIWARI",
        "authorized_official_first_name": "AJIT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-281-1181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01039897A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100094420E",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000219038",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTN",
            "identifier": "666840",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.