Organization Active NPI

Ossip Optometry, P.C

  • Optometrist
  • Elkhart, IN
National Provider Identifier
1720001100
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OSSIP OPTOMETRY, P.C
Practice address
3701 S Main St
Elkhart, IN 46517-3106
Phone
(574) 875-8511
Fax
(574) 875-8763
NPI assigned
Jul 26, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Gregg L Ossip, OD
Title
Owner
Phone
(317) 254-6480

National Provider Directory

National Provider Directory
Tax ID family
Ossip Optometry PC26 organizations share this tax ID

Corporate family (same tax ID) 25

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

View all 25

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3701 S Main St
Elkhart, IN 46517-3106

Mailing address

9795 Crosspoint Blvd
Ste 100
Indianapolis, IN 46256-3354
Phone (317) 254-6480

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
201052070MedicaidIN

Other names 1

NPPES NPI Registry
  • C & B Optical One Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 13, 2015.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1720001100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9795 CROSSPOINT BLVD",
            "address_2": "STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563354",
            "telephone_number": "317-254-6480",
            "fax_number": "317-259-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 S MAIN ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465173106",
            "telephone_number": "574-875-8511",
            "fax_number": "574-875-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSSIP OPTOMETRY, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "OSSIP",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-254-6480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201052070",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C & B Optical One",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.