Eyecare Indiana II, PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYECARE INDIANA II, PC

Doing business as

C&B Optical One

Practice address

1919 E Markland Ave
Kokomo, IN 46901-6237

Phone

(765) 459-8182

Fax

(765) 459-5550

NPI assigned

Oct 2, 2012

Last updated

Nov 16, 2012By 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

Terri Peschke

Title

Coo

Phone

(574) 291-9200

Specialties & licenses 1

Addresses

Other names 1

• C&B OPTICAL ONE Doing business as

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1689925505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 S MICHIGAN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142545",
            "telephone_number": "574-291-9200",
            "fax_number": "574-299-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E MARKLAND AVE",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469016237",
            "telephone_number": "765-459-8182",
            "fax_number": "765-459-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE INDIANA II, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "PESCHKE",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "574-291-9200"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C&B OPTICAL ONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leah Exmeyer, RBT
• Eye Center Group LLC (Kokomo Eye Center)
• Eye Center Group LLC (Kokomo Eye Center)
• Eye Physicians Inc
• Eye Specialists of East Central Indiana, LLC (Kokomo Eye Specialists)
• Eyecare Indiana LL, PC (C&B Optical One)
• Tara L Eytcheson
• Facial Plastic Surgery Ears, Nose, and Throat Clinic
• Alexander Facista, MD
• Belinda Diane Fairbanks

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.