Organization Active NPI

Dr Holly Lewton PC

Doing business as Dr. Lewton and Associates

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1700177490
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002745 Issued in IN
Legal business name
DR HOLLY LEWTON PC
Doing business as
Dr. Lewton and Associates
Practice address
6905 E 96TH St
Suite #1100
Indianapolis, IN 46250-4448
Phone
(317) 576-9809
Fax
(317) 585-9823
NPI assigned
Apr 28, 2011
Last updated
Apr 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Authorized official

Name
Dr. Holly Lewton, O.D.NPI 1427133727
Title
President
Phone
(317) 585-9824

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
Optometrist 152W00000X 18002745 IN Primary

Addresses

Primary practice location

6905 E 96TH St
Suite #1100
Indianapolis, IN 46250-4448

Mailing address

6905 E 96TH St
Suite #1100
Indianapolis, IN 46250-4448
Phone (317) 576-9809

Other identifiers 1

IdentifierTypeStateIssuer
1427133727OtherNPI TYPE 1

Other names 1

  • Dr. Lewton and Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120716000353 IN Part B Supplier - Clinic/Group Practice 2567628787 Receives reassigned benefits from 5 practitioners
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory
Tax ID family
96TH Street Eye Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

6905 E 96th St
Ste 1100
Indianapolis, IN 46250
Phone (317) 576-9809

Practitioners & affiliated clinicians

Practitioners 5

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": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1700177490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 E 96TH ST",
            "address_2": "SUITE #1100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504448",
            "telephone_number": "317-576-9809",
            "fax_number": "317-585-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 E 96TH ST",
            "address_2": "SUITE #1100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504448",
            "telephone_number": "317-576-9809",
            "fax_number": "317-585-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HOLLY LEWTON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "LEWTON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-585-9824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1427133727",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Lewton and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.