Active NPI
First Impressions Optometric Associates, LLC
- Eyewear Supplier
- Indianapolis, IN
National Provider Identifier
1740940337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- FIRST IMPRESSIONS OPTOMETRIC ASSOCIATES, LLC
- Practice address
- 6020 E 82ND St Ste 810
Indianapolis, IN 46250-5543 - Phone
- (317) 842-2018
- NPI assigned
- Dec 22, 2021
- 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
- Aja Bowling, OD
- Title
- Owner
- Phone
- (726) 444-4078
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
6020 E 82ND St Ste 810
Indianapolis, IN 46250-5543
Mailing address
175 E Houston St
San Antonio, TX 78205-2255
Phone (726) 444-4078
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640131200000",
"number": "1740940337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 E HOUSTON ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782052255",
"telephone_number": "726-444-4078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 E 82ND ST STE 810",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462505543",
"telephone_number": "317-842-2018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST IMPRESSIONS OPTOMETRIC ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-22",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A",
"authorized_official_last_name": "BOWLING",
"authorized_official_first_name": "AJA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "726-444-4078",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- First Impressions Optometric Associates, LLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.