NPIMap

Organization Active NPI

Indianapolis Vision Care LLC

Doing business as Shimp Optical

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1659733145
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003580A Issued in IN
Legal business name
INDIANAPOLIS VISION CARE LLC
Doing business as
Shimp Optical
Practice address
932 S Meridian St
Indianapolis, IN 46225-1337
Phone
(317) 636-4448
Fax
(317) 636-4476
NPI assigned
Mar 23, 2016
Last updated
Sep 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Authorized official

Name
Colin Christie, ODNPI 1245467877
Title
Owner
Phone
(317) 534-5141

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18003580A IN Primary

Addresses

Primary practice location

932 S Meridian St
Indianapolis, IN 46225-1337

Mailing address

932 S Meridian St
Indianapolis, IN 46225-1337
Phone (317) 636-4448

Other names 1

  • Shimp Optical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160728002307 IN Part B Supplier - Clinic/Group Practice 5597058404 Receives reassigned benefits from 3 practitioners
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

932 S Meridian St
Indianapolis, IN 46225
Phone (317) 636-4448

Practitioners & affiliated clinicians

Practitioners 3

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": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1659733145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 S MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462251337",
            "telephone_number": "317-636-4448",
            "fax_number": "317-636-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 S MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462251337",
            "telephone_number": "317-636-4448",
            "fax_number": "317-636-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANAPOLIS VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-534-5141",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003580A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shimp Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shimp Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.