Active NPI
Eyecare Specialists
Doing business as Darla Heck Sacopulos OD PC
- Optometrist
- Brazil, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002508A
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darla Heck Sacopulos, O.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5460840001 | Other | IN | DMERC |
Other names 1
- Darla Heck Sacopulos OD PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Optometrist
- Brazil, IN
- NPI 1124139787
-
- Optometrist
- Brazil, IN
- NPI 1275635534
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.