Myeyedr Optometry of Indiana, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MYEYEDR OPTOMETRY OF INDIANA, LLC

Practice address

2901 S McIntire Dr
Bloomington, IN 47403

Phone

(812) 332-1401

Fax

(812) 332-3062

NPI assigned

Jul 9, 2018

Organization subpart

No

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

Authorized official

Name

Sue Downs

Title

Secretary

Phone

(703) 847-8899

Specialties & licenses 1

Addresses

Other names 1

• MyEyeDr. Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Myeyedr Optometry of in LLC50 organizations share this tax ID, including this one

Other organizations with this tax ID 49

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

• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Schererville, IN
  • NPI 1043779457
  NPD tax ID
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Indianapolis, IN
  • NPI 1093201485
  NPD tax ID
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • South Bend, IN
  • NPI 1104312552
  NPD tax ID
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Indianapolis, IN
  • NPI 1114413549
  NPD tax ID
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Westfield, IN
  • NPI 1134615552
  NPD tax ID
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Elkhart, IN
  • NPI 1154817583
  NPD tax ID
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • La Porte, IN
  • NPI 1164981577
  NPD tax ID
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Camby, IN
  • NPI 1174019566
  NPD tax ID
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Bloomington, IN
  • NPI 1194211581
  NPD tax ID
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Noblesville, IN
  • NPI 1235625674
  NPD tax ID
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Carmel, IN
  • NPI 1245726637
  NPD tax ID
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Fishers, IN
  • NPI 1265040067
  NPD tax ID

Practitioners 2

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

• Elizabeth Ann Newman, O.D., M.P.H.

  • Optometrist
  • Bloomington, IN
  • NPI 1366647976
  NPD
• Taylor Welsh, OD

  • Optometrist
  • Bloomington, IN
  • NPI 1134866734
  NPD

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1548756935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S MCINTIRE DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47403",
            "telephone_number": "812-332-1401",
            "fax_number": "812-332-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYEYEDR OPTOMETRY OF INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "DOWNS",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyEyeDr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Briannah Myers, RBT
• Jennifer M Myers, MA, LMHC
• Nicole Patrice Myers, NP
• Myeyedr Optometry of Indiana, LLC
• Myeyedr Optometry of Indiana, LLC
• Myeyedr Optometry of Indiana, LLC
• Sanjay Basu Nadesan, MD
• Emma Nagy
• Raymond Naldi
• Jungsoo Nam

• All providers in Bloomington, IN
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.