Southern Indiana Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003673A Issued in IN

Legal business name

SOUTHERN INDIANA EYE CARE, LLC

Practice address

488 W Hospital Rd
Paoli, IN 47454-8807

Phone

(812) 723-4752

Fax

(812) 723-4753

NPI assigned

Apr 24, 2015

Last updated

Apr 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert D Cole Jr., O.D.NPI 1407142441

Title

Optometrist

Phone

(812) 723-4752

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Robert David Cole Jr., O.D.

  • Optometrist
  • Paoli, IN
  • NPI 1407142441
  Medicare reassignment Care Compare group Authorized official
• Ryan Kyle Petty, O.D.

  • Optometrist
  • Paoli, IN
  • NPI 1174591960
  Medicare reassignment Care Compare group NPD
• James Donald McPherson, DC

  • Chiropractor
  • Paoli, IN
  • NPI 1700992872
  NPD (past)

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1720475965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 W HOSPITAL RD",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474548807",
            "telephone_number": "812-723-4752",
            "fax_number": "812-723-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 W HOSPITAL RD",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474548807",
            "telephone_number": "812-723-4752",
            "fax_number": "812-723-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INDIANA EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "812-723-4752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003673A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Township (Orange County) Volunteer Fire Company in (southeast vol. fire dept.)
• Southern Indiana Community Health Care (Comprehensive Health Care)
• Southern Indiana Community Health Care (Comprehensive Health Care)
• Southern Indiana Community Health Care, Inc (Comprehensive Health Care)
• Southern Indiana Community Health Care, Inc (Comprehensive Health Care)
• Southern Indiana Myofascial Release, LLC
• John Steen, PA-C
• Brittany Renae Stout, FNP, NP-C
• Angela Dawn Stroud, OTR
• Joel Stroud, P.T.

• Optometrist in Paoli, IN
• Providers in Paoli, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.