Active NPI
Ashman Olinger Wilson & Klem
- Optometrist
- Muncie, IN
National Provider Identifier
1649486077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- ASHMAN OLINGER WILSON & KLEM
- Doing business as
- Family Vision Care
- Practice address
- 1904 W Royale Dr
Muncie, IN 47304-2264 - Phone
- (765) 288-7744
- Fax
- (765) 282-0741
- NPI assigned
- May 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jerilyn S Neata
- Title
- Office Manager
- Phone
- (765) 288-7744
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1904 W Royale Dr
Muncie, IN 47304-2264
Mailing address
1904 W Royale Dr
Muncie, IN 47304-2264
Phone (765) 288-7744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100460750A | Medicaid | IN |
Other names 1
- Family Vision Care
National Provider Directory
National Provider DirectoryLocations
1904 W Royale Dr
Muncie, IN 47304
Phone (765) 284-0043
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Muncle, IN
- NPI 1982692356
-
- Optometrist
- Muncie, IN
- NPI 1447247580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1649486077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1904 W ROYALE DR",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473042264",
"telephone_number": "765-288-7744",
"fax_number": "765-282-0741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 W ROYALE DR",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473042264",
"telephone_number": "765-288-7744",
"fax_number": "765-282-0741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHMAN OLINGER WILSON & KLEM",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "NEATA",
"authorized_official_first_name": "JERILYN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "765-288-7744",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100460750A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Vision Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.