Active NPI
Indiana University Eye Care, Inc.
- Optometrist
- Indianapolis, IN
National Provider Identifier
1649552902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003053
- Legal business name
- INDIANA UNIVERSITY EYE CARE, INC.
- Practice address
- 200 W 103Rd St
Suite 2250
Indianapolis, IN 46290-1007 - Phone
- (317) 274-2020
- Fax
- (317) 274-3265
- NPI assigned
- Sep 13, 2011
- Last updated
- May 21, 2015
- Organization subpart
- Yes
- Parent organization
- INDIANA UNIVERSITY EYE CARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Louis B Cantor, M.D.
- Title
- Chairman
- Phone
- (317) 278-2651
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18003053 | IN | Primary |
| Ophthalmology Physician | 207W00000X | IN |
Addresses
Primary practice location
200 W 103Rd St
Suite 2250
Indianapolis, IN 46290-1007
Mailing address
1160 W Michigan St
Indianapolis, IN 46202-5209
Phone (317) 274-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100067460 | Medicaid | IN |
Other names 1
- IU Eye Care Inc.
National Provider Directory
National Provider Directory- Part of
- Indiana University Eye Care
Locations
1160 W Michigan St
Ste 100
Indianapolis, IN 46202
Phone (317) 278-1470
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Ophthalmology Physician
- Indianapolis, IN
- NPI 1548261894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432166400000",
"number": "1649552902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 W MICHIGAN ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025209",
"telephone_number": "317-274-2020",
"fax_number": "317-274-3265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W 103RD ST",
"address_2": "SUITE 2250",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462901007",
"telephone_number": "317-274-2020",
"fax_number": "317-274-3265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIANA UNIVERSITY EYE CARE, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INDIANA UNIVERSITY EYE CARE, INC.",
"enumeration_date": "2011-09-13",
"last_updated": "2015-05-21",
"status": "A",
"authorized_official_last_name": "CANTOR",
"authorized_official_first_name": "LOUIS",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CHAIRMAN",
"authorized_official_telephone_number": "317-278-2651",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IN",
"license": "18003053",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "IN",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100067460",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "IU Eye Care Inc.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Indianapolis, IN
- Indiana University
- Indiana University
- Indiana University and Purdue University
- Indiana University Eye Care Inc.
- Indiana University Eye Care, Inc.
- Indiana University Health
- Indiana University Health Advanced Heart & Lung Clinic
- Indiana University Health Ambulatory Surgery Centers, LLC (Glen Lehman Endoscopy Suite)
- Indiana University Health Ambulatory Surgery Centers, LLC (IU Health Surgery Center - Harcourt)
- Indiana University Health Ambulatory Surgery Centers, LLC (Eagle Highlands Surgery Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.