Organization Active NPI

Zionsville Eyecare LLC

Doing business as Zionsville Eyecare

  • Optometrist
  • Zionsville, IN
National Provider Identifier
1659687754
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ZIONSVILLE EYECARE LLC
Doing business as
Zionsville Eyecare
Practice address
1120 W Oak St Ste 100
Zionsville, IN 46077-1259
Phone
(317) 873-3000
Fax
(317) 733-2020
NPI assigned
Aug 26, 2010
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Nicholas James GarnNPI 1063433662
Title
Ceo
Phone
(317) 873-3000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Ophthalmology Physician 207W00000X NU

Addresses

Primary practice location

1120 W Oak St Ste 100
Zionsville, IN 46077-1259

Mailing address

1120 W Oak St Ste 100
Zionsville, IN 46077-1475
Phone (317) 873-3000

Other practice location 1

10880 N Michigan Rd Ste 200
Zionsville, IN 46077-8167
Phone (317) 873-3000

Other identifiers 1

IdentifierTypeStateIssuer
200402290AMedicaidIN

Other names 1

  • Zionsville Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101025000730 IN Part B Supplier - Clinic/Group Practice 3375736119 Receives reassigned benefits from 8 practitioners
Practice locations: Zionsville, IN

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2093549Zionsville Eyecare1120 W Oak Street, Suite 100, Zionsville, IN 46077Certificate of waiverMar 29, 2027

National Provider Directory

National Provider Directory

Locations

1120 W Oak St
Ste 100
Zionsville, IN 46077
Phone (317) 873-3000

1375 Parkway Dr
Zionsville, IN 46077
Phone (317) 873-3000

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1659687754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W OAK ST STE 100",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771475",
            "telephone_number": "317-873-3000",
            "fax_number": "317-733-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W OAK ST STE 100",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771259",
            "telephone_number": "317-873-3000",
            "fax_number": "317-733-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10880 N Michigan Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Zionsville",
            "state": "IN",
            "postal_code": "460778167",
            "country_code": "US",
            "telephone_number": "317-873-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ZIONSVILLE EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "GARN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-873-3000"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200402290A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zionsville Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zionsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.