NPIMap

Norman Eyecare LTD.

Organization Active NPI Optometrist · Lebanon, IN

NPI 1558920439 · NPPES record last updated May 30, 2024

Key facts

NPI
1558920439
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
Legal business name
NORMAN EYECARE LTD.
Practice address
117 E Main St
Lebanon, IN 46052-2521
Phone
(765) 484-8182
Fax
(765) 564-2477
NPI assigned
Jun 13, 2019
Organization subpart
No

Authorized official

Name
Shannon Keyser
Title
Administrator
Phone
(765) 564-2800

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 9

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

Practitioners 19

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

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Norman Eyecare LTD
117 E Main St, Lebanon, IN 46052-2521 · (765) 484-8182		 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignment
Participating since Mar 30, 1995

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20081230000359 IN Part B Supplier - Clinic/Group Practice 3173685088 Receives reassigned benefits from 19 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Indianapolis, IN; Westfield, IN; Sheridan, IN; Monticello, IN; Lebanon, IN; Lafayette, IN; Frankfort, IN; Delphi, IN…
O20190916001342 IN DME Supplier - Physician - Optometrist 3173685088 Practice locations: Lebanon, IN

National Provider Directory

Tax ID family
Norman Eyecare LTD (10 organizations share this tax ID)

Locations

5250 E US Highway 36
Ste 240
Avon, IN 46123
Phone (317) 745-3377

6326 Rucker Rd
Ste C
Indianapolis, IN 46220
Phone (317) 257-4444

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP		 152W00000X Yes

Addresses

Primary practice location

117 E Main St
Lebanon, IN 46052-2521

Mailing address

750 E Main St
Delphi, IN 46923-1327
Phone (765) 564-2800

Other names

  • Norman & Miller EyeCare Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 30, 2024.

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1558920439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E MAIN ST",
            "city": "DELPHI",
            "state": "IN",
            "postal_code": "469231327",
            "telephone_number": "765-564-2800",
            "fax_number": "765-564-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E MAIN ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460522521",
            "telephone_number": "765-484-8182",
            "fax_number": "765-564-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN EYECARE LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "KEYSER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "765-564-2800"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norman & Miller EyeCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Norman & Miller EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, IN

All providers in Lebanon, IN · Optometrist in Indiana

Sources for this page

Verify at the official NPI Registry.