Organization Active NPI

Jasper Eye Clinic LLC

  • Optometrist
  • Jasper, IN
National Provider Identifier
1497945497
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JASPER EYE CLINIC LLC
Practice address
515 W 6TH St
Jasper, IN 47546-2723
Phone
(812) 634-0000
Fax
(812) 634-0010
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mrs. Susan C Schmitt
Title
Owner
Phone
(812) 634-0000

Specialties & licenses 1

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

Addresses

Primary practice location

515 W 6TH St
Jasper, IN 47546-2723

Mailing address

515 W 6TH St
Jasper, IN 47546-2723
Phone (812) 634-0000

National Provider Directory

National Provider Directory

Locations

515 W 6th St
Jasper, IN 47546
Phone (812) 401-3937

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1497945497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W 6TH ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462723",
            "telephone_number": "812-634-0000",
            "fax_number": "812-634-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W 6TH ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462723",
            "telephone_number": "812-634-0000",
            "fax_number": "812-634-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER EYE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "SCHMITT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-634-0000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.