Eye Associates of Southern Indiana

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EYE ASSOCIATES OF SOUTHERN INDIANA

Practice address

302 W 14TH St
#100
Jeffersonville, IN 47130-3751

Phone

(812) 284-0660

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Bradley C Black, MD

Title

Owner

Phone

(812) 284-0660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1629266705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W 14TH ST",
            "address_2": "#100",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303751",
            "telephone_number": "812-284-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W 14TH ST",
            "address_2": "#100",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303751",
            "telephone_number": "812-284-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF SOUTHERN INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-284-0660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalin Lavelle Ernest, RBT
• Rhonda L Eskridge, MA-CCC-SLP
• Avery Estes
• Ashley Evans, NP
• Jenna Evans, APRN
• Eye Associates of Southern Indiana PC
• Eye Associates of Southern Indiana PC
• Jon Fader, LCAC, LCSW
• Claire Faith, LMHC
• Prangchat Fakto

• All providers in Jeffersonville, IN
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.