NPIMap

Organization Active NPI

Mattingly Center for Sight LLC

  • Ophthalmology Physician
  • Lafayette, IN
National Provider Identifier
1639238165
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01026310A Issued in IN
Legal business name
MATTINGLY CENTER FOR SIGHT LLC
Doing business as
Mattingly Center for Sight
Practice address
1410 Union St
Lafayette, IN 47904-2060
Phone
(765) 423-2977
Fax
(765) 423-1149
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Dr. Thomas Paul Mattingly, MDNPI 1043298292
Title
Owner-Physician
Phone
(765) 423-2977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 01026310A IN Primary

Addresses

Primary practice location

1410 Union St
Lafayette, IN 47904-2060

Mailing address

1410 Union St
Lafayette, IN 47904-2060
Phone (765) 423-2977

Other identifiers 2

IdentifierTypeStateIssuer
351654025OtherINSAGAMORE HEALTH NETWORK
000000086144OtherINBCBS

Other names 1

  • Mattingly Center for Sight Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1639238165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 UNION ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042060",
            "telephone_number": "765-423-2977",
            "fax_number": "765-423-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 UNION ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042060",
            "telephone_number": "765-423-2977",
            "fax_number": "765-423-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTINGLY CENTER FOR SIGHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER-PHYSICIAN",
        "authorized_official_telephone_number": "765-423-2977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01026310A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAGAMORE HEALTH NETWORK",
            "identifier": "351654025",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000086144",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mattingly Center for Sight",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.