Center Grove Eye Care, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002361 Issued in IN

Legal business name

CENTER GROVE EYE CARE, P.C.

Practice address

1634 W Smith Valley Rd
Suite a
Greenwood, IN 46142-1550

Phone

(317) 883-2020

NPI assigned

Feb 5, 2008

Last updated

Feb 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carolyn Straley

Title

Practice Administrator

Phone

(317) 534-4066

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Debra L McConnaha, O.D.

  • Low Vision Rehabilitation Optometrist
  • Greenwood, IN
  • NPI 1629070925
  NPD (past)

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1679751390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 W SMITH VALLEY RD",
            "address_2": "SUITE A",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421550",
            "telephone_number": "317-883-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 W SMITH VALLEY RD",
            "address_2": "SUITE A",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421550",
            "telephone_number": "317-883-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER GROVE EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "STRALEY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "317-534-4066"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410048778",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Center Grove Dental, LLC (Center Grove Dental)
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• Central Indiana Mental Health Partners, LLC
• Central Indiana Vascular Care, LLC.
• Megan Bridget Certo, PT

• Optometrist in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.