NPIMap

Organization Active NPI

Niemeier Eyecare Inc.

Doing business as Professional Eyecare Associates West

  • Optometrist
  • Evansville, IN
National Provider Identifier
1750349684
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003185A Issued in IN
Legal business name
NIEMEIER EYECARE INC.
Doing business as
Professional Eyecare Associates West
Practice address
2311 W Franklin St
Evansville, IN 47712-5118
Phone
(812) 425-5131
Fax
(812) 425-5132
NPI assigned
May 2, 2006
Last updated
Mar 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Dr. Todd Eric Niemeier, O.D.NPI 1093773400
Title
President
Phone
(812) 425-5131

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18003185A IN Primary
Durable Medical Equipment & Medical Supplies 332B00000X 4537650001 IN

Addresses

Primary practice location

2311 W Franklin St
Evansville, IN 47712-5118

Mailing address

2311 W Franklin St
Evansville, IN 47712-5118
Phone (812) 425-5131

Other names 1

  • Professional Eyecare Associates West Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040615000944 IN Part B Supplier - Clinic/Group Practice 1557345873 Receives reassigned benefits from 3 practitioners
Practice locations: Evansville, IN
O20100930073531 IN DME Supplier - Physician - Optometrist 1557345873 Practice locations: Evansville, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Niemeier Eyecare Inc.2311 W Franklin St, Evansville, IN 47712-5118(812) 425-5131 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jun 21, 2002

National Provider Directory

National Provider Directory

Locations

2311 W Franklin St
Evansville, IN 47712
Phone (812) 425-5131

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1750349684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 W FRANKLIN ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477125118",
            "telephone_number": "812-425-5131",
            "fax_number": "812-425-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 W FRANKLIN ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477125118",
            "telephone_number": "812-425-5131",
            "fax_number": "812-425-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIEMEIER EYECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "NIEMEIER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-425-5131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003185A",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "4537650001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Eyecare Associates West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.