NPIMap

Organization Active NPI

Lisle Family Eye Care Inc

Doing business as The Eye Care Group

  • Optometrist
  • Madison, IN
National Provider Identifier
1669876355
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LISLE FAMILY EYE CARE INC
Doing business as
The Eye Care Group
Practice address
2580 Michigan Rd
Suite 2
Madison, IN 47250-2491
Phone
(812) 265-6222
NPI assigned
Oct 9, 2014
Last updated
Mar 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
James T Lisle, ODNPI 1790778306
Title
President
Phone
(812) 346-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2580 Michigan Rd
Suite 2
Madison, IN 47250-2491

Mailing address

747 N State St
North Vernon, IN 47265-1044
Phone (812) 346-8500

Other names 1

  • The Eye Care Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141120000285 IN DME Supplier - Physician - OptometristDME Supplier - Optician 0648257022 Practice locations: Madison, IN

Other NPIs with the same Medicare PAC ID 2

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

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Lisle Family Eye Care Inc2580 Michigan Rd, Madison, IN 47250-2492(812) 265-6222 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Nov 26, 2001

National Provider Directory

National Provider Directory
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.

Locations

2580 Michigan Rd
Ste 2
Madison, IN 47250
Phone (812) 265-6222

Practitioners & affiliated clinicians

Practitioners 1

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": "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Care Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, IN

Sources for this page

  • 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.