NPIMap

Organization Active NPI

Indiana Eye Center LLC

  • Ophthalmology Physician
  • Princeton, IN
National Provider Identifier
1710265269
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01034314A Issued in IN
Legal business name
INDIANA EYE CENTER LLC
Practice address
2020 Sherman Dr
Princeton, IN 47670-1045
Phone
(812) 385-2225
Fax
(812) 385-2314
NPI assigned
Aug 2, 2011
Last updated
Mar 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Wagih A Satar, M.D.NPI 1346218401
Title
Owner
Phone
(812) 385-2225

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003638A IN
Ophthalmology Physician 207W00000X 01034314A IN Primary

Addresses

Primary practice location

2020 Sherman Dr
Princeton, IN 47670-1045

Mailing address

2020 Sherman Dr
Princeton, IN 47670-1045
Phone (812) 385-2225

Other identifiers 2

IdentifierTypeStateIssuer
201040280AMedicaidIN
000000737384OtherINANTHEM BLUECROSSBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110826000050 IN Part B Supplier - Clinic/Group Practice 7416127642 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, IN; Terre Haute, IN; Sullivan, IN; Clinton, IN; Princeton, IN; Linton, IN
O20120326000220 IL Part B Supplier - Clinic/Group Practice 7416127642 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrenceville, IL; Mount Vernon, IL; Olney, IL

National Provider Directory

National Provider Directory

Locations

429 S Whittle Ave
Olney, IL 62450
Phone (618) 395-2676

2020 Sherman Dr
Princeton, IN 47670
Phone (800) 252-1067

117 S Main St
Sullivan, IN 47882
Phone (812) 268-4700

1065 E Margaret Dr
Terre Haute, IN 47802

2901 Ohio Blvd
Ste 248
Terre Haute, IN 47803

4414 S 7th St
Terre Haute, IN 47802
Phone (812) 232-1000

4949 E Poplar Dr
Terre Haute, IN 47803
Phone (812) 872-2020

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1710265269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SHERMAN DR",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701045",
            "telephone_number": "812-385-2225",
            "fax_number": "812-385-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SHERMAN DR",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701045",
            "telephone_number": "812-385-2225",
            "fax_number": "812-385-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "SATAR",
        "authorized_official_first_name": "WAGIH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-385-2225",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003638A",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01034314A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201040280A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUECROSSBLUE SHIELD",
            "identifier": "000000737384",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.