Organization Active NPI

Eyecare Specialists

Doing business as Darla Heck Sacopulos OD PC

  • Optometrist
  • Brazil, IN
National Provider Identifier
1710098389
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002508A Issued in IN
Legal business name
EYECARE SPECIALISTS
Doing business as
Darla Heck Sacopulos OD PC
Practice address
325 W National Ave
Brazil, IN 47834-2542
Phone
(812) 443-0060
Fax
(812) 446-5061
NPI assigned
Aug 31, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Darla Heck Sacopulos, O.D.NPI 1124139787
Title
Optometrist
Phone
(812) 443-0060

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
Optometrist 152W00000X 18002508A IN Primary

Addresses

Primary practice location

325 W National Ave
Brazil, IN 47834-2542

Mailing address

325 W National Ave
Brazil, IN 47834-2542
Phone (812) 443-0060

Other identifiers 1

IdentifierTypeStateIssuer
5460840001OtherINDMERC

Other names 1

  • Darla Heck Sacopulos OD PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050518000208 IN Part B Supplier - Clinic/Group Practice 6901847169 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Terre Haute, IN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

325 W National Ave
Brazil, IN 47834
Phone (812) 443-0060

Practitioners & affiliated clinicians

Practitioners 2

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1710098389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W NATIONAL AVE",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478342542",
            "telephone_number": "812-443-0060",
            "fax_number": "812-446-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W NATIONAL AVE",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478342542",
            "telephone_number": "812-443-0060",
            "fax_number": "812-446-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "HECK SACOPULOS",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "812-443-0060",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002508A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5460840001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Darla Heck Sacopulos OD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brazil, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.