Organization Active NPI

Cann Optical Eye Care Center

Doing business as Optometrists and Associates

  • Optometrist
  • Richmond, IN
National Provider Identifier
1558429811
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001931A Issued in IN
Legal business name
CANN OPTICAL EYE CARE CENTER
Doing business as
Optometrists and Associates
Practice address
536 E Main St
Richmond, IN 47374
Phone
(765) 966-5584
NPI assigned
Dec 5, 2006
Last updated
Aug 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Mr. Harvey Cann
Title
Owner
Phone
(765) 966-5584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001931A IN Primary

Addresses

Primary practice location

536 E Main St
Richmond, IN 47374

Mailing address

536 E Main St
Richmond, IN 47374
Phone (765) 966-5584

Other identifiers 1

IdentifierTypeStateIssuer
100181250MedicaidIN

Other names 1

  • Optometrists and Associates Doing business as

National Provider Directory

National Provider Directory

Locations

536 E Main St
Richmond, IN 47374
Phone (765) 966-5584

Practitioners & affiliated clinicians

Practitioners 1

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1558429811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 E MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "47374",
            "telephone_number": "765-966-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 E MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "47374",
            "telephone_number": "765-966-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANN OPTICAL EYE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "CANN",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-966-5584",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001931A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100181250",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optometrists and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.