Organization Active NPI

Warner Eyecare, LLC

  • Optometrist
  • Greenwood, IN
National Provider Identifier
1699116376
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003007A,B Issued in IN
Legal business name
WARNER EYECARE, LLC
Practice address
1642 Olive Branch Parke LN # 1000
Greenwood, IN 46143-9821
Phone
(317) 883-0071
Fax
(317) 883-0071
NPI assigned
Jul 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Dr. Aaron M. Warner, O.D.NPI 1952466732
Title
President
Phone
(317) 883-0071

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 18003007A,B IN Primary

Addresses

Primary practice location

1642 Olive Branch Parke LN # 1000
Greenwood, IN 46143-9821

Mailing address

5249 Berkshire North Blvd
Greenwood, IN 46142-7755
Phone (317) 883-0071

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131014001124 IN Part B Supplier - Clinic/Group Practice 9234363862 Receives reassigned benefits from 2 practitioners
Practice locations: Greenwood, IN

National Provider Directory

National Provider Directory

Locations

1642 Olive Branch Parke Ln
Ste 1000
Greenwood, IN 46143
Phone (317) 883-0071

1642 Olive Branch Parke Ln
Ste 100
Greenwood, IN 46143

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1699116376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 BERKSHIRE NORTH BLVD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461427755",
            "telephone_number": "317-883-0071",
            "fax_number": "317-883-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 OLIVE BRANCH PARKE LN # 1000",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461439821",
            "telephone_number": "317-883-0071",
            "fax_number": "317-883-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARNER EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-883-0071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003007A,B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.