Active NPI
Eyecare Indiana
Doing business as Bloomington Eyecare
- Optometrist
- Bloomington, IN
National Provider Identifier
1548605124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18001887
- Legal business name
- EYECARE INDIANA
- Doing business as
- Bloomington Eyecare
- Practice address
- 2600 W 3Rd St
Bloomington, IN 47404-5227 - Phone
- (812) 336-5432
- Fax
- (812) 332-5084
- NPI assigned
- May 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregg L Ossip, OD
- Title
- Owner
- Phone
- (317) 254-6480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18001887 | IN | Primary |
Addresses
Primary practice location
2600 W 3Rd St
Bloomington, IN 47404-5227
Mailing address
9795 Crosspoint Blvd
Ste 100
Indianapolis, IN 46256-3354
Phone (317) 254-6480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201095580 | Medicaid | IN |
Other names 1
- Bloomington Eyecare
National Provider Directory
National Provider Directory- Tax ID family
- Eyecare Indiana
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412812800000",
"number": "1548605124",
"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": "2600 W 3RD ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474045227",
"telephone_number": "812-336-5432",
"fax_number": "812-332-5084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYECARE INDIANA",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-08",
"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": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IN",
"license": "18001887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201095580",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bloomington Eyecare",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bloomington, 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.