St. Vincent Optical, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

ST. VINCENT OPTICAL, LLC

Doing business as

StylEyes

Practice address

10801 N Michigan Rd
Zionsville, IN 46077-9207

Phone

(317) 344-1266

NPI assigned

May 18, 2006

Last updated

Aug 22, 2020By 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

Bruce Haga

Title

Vice President

Phone

(317) 338-7419

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• StylEyes Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St. Vincent Physician Network, LLC

  • Orthopaedic Surgery Physician
  • Frankfort, IN
  • NPI 1720234883

  Member Of

  NPD member

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750334231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 N MICHIGAN RD",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460779207",
            "telephone_number": "317-344-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 N MICHIGAN RD",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460779207",
            "telephone_number": "317-344-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAGA",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "317-338-7419"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StylEyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Vincent Hospital & Health Care Center, Inc.
• St. Vincent Hospital and Health Care Center, Inc. (St. Vincent Physician Services)
• St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
• St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
• St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
• Christine Sharon Stacker
• Katy Rebecca Stanfield, M.A. CCC-SLP
• Case Starkey
• Elizabeth Staruszkiewicz
• Jacob Allan Steckler

• Eyewear Supplier in Zionsville, IN
• Providers in Zionsville, IN by specialty
• Eyewear Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.