Organization Active NPI

Eyecare Indiana

Doing business as Eyecare Associates

  • Optometrist
  • Lafayette, IN
National Provider Identifier
1548427065
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003757 Issued in IN
Legal business name
EYECARE INDIANA
Doing business as
Eyecare Associates
Practice address
24 N Earl Ave
Lafayette, IN 47904-2813
Phone
(765) 447-0880
Fax
(765) 447-4789
NPI assigned
May 21, 2008
Last updated
Oct 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Dr. Gregg L Ossip, O.D.
Title
Owner
Phone
(317) 254-6480

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003757 IN Primary
Optometrist 152W00000X 18003749 IN

Addresses

Primary practice location

24 N Earl Ave
Lafayette, IN 47904-2813

Mailing address

9795 Crosspoint Blvd
Ste 100
Indianapolis, IN 46256-3354
Phone (317) 254-6480

Other identifiers 1

IdentifierTypeStateIssuer
201095580MedicaidIN

Other names 1

  • Eyecare Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eyecare Indiana6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

24 N Earl Ave
Lafayette, IN 47904
Phone (765) 447-0880

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1548427065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9795 CROSSPOINT BLVD",
            "address_2": "STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563354",
            "telephone_number": "317-254-6480",
            "fax_number": "317-259-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N EARL AVE",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042813",
            "telephone_number": "765-447-0880",
            "fax_number": "765-447-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "OSSIP",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-254-6480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003757",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003749",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201095580",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.