Lisle Family Eye Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LISLE FAMILY EYE CARE INC

Practice address

2580 Michigan Rd
Suite 2
Madison, IN 47250-2491

Phone

(812) 265-6222

NPI assigned

Oct 9, 2014

Organization subpart

No

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

Authorized official

Name

James T Lisle, OD

Title

President

Phone

(812) 346-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Eye Care Group Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Lisle Family Eye Care Inc

  • Optometrist
  • Vevay, IN
  • NPI 1417348525

  0648257022

  Same PAC ID
• Lisle Family Eye Care Inc

  • Optometrist
  • North Vernon, IN
  • NPI 1518904655

  0648257022

  Same PAC ID

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

Medicare medical equipment & supply locations

Tax ID family

Lisle Family Eye Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Lisle Family Eye Care Inc

  • Optometrist
  • Vevay, IN
  • NPI 1417348525
  NPD tax ID
• Lisle Family Eye Care Inc

  • Optometrist
  • North Vernon, IN
  • NPI 1518904655
  NPD tax ID

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1669876355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 N STATE ST",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472651044",
            "telephone_number": "812-346-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 MICHIGAN RD",
            "address_2": "SUITE 2",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472502491",
            "telephone_number": "812-265-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISLE FAMILY EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "LISLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-346-8500",
        "authorized_official_credential": "OD"
    },
    "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": "2003353110C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Care Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leon G Michl MD PSC
• Beatriz Leyva Omar
• Lifespring, Inc
• Lincare Inc.
• Linda Wehner D.M.D. LLC
• Listen Hear LLC
• Amanda Liter, LCSW
• Brooke Marie Liter, RBT
• Morgan Emily Liter, RN, BSN
• Anna Bridget Little, CCC-SLP

• All providers in Madison, IN
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.