Organization Active NPI

Jonathan S. McGlothan

  • Ophthalmologic Surgery Clinic/Center
  • Terre Haute, IN
National Provider Identifier
1750417309
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
JONATHAN S. MCGLOTHAN
Doing business as
Terre Haute Eye Care Center
Practice address
3498 S 4TH St
Terre Haute, IN 47802-4168
Phone
(877) 499-3937
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Jonathan McGlothan, MD
Title
Owner
Phone
(800) 467-2392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X Primary

Addresses

Primary practice location

3498 S 4TH St
Terre Haute, IN 47802-4168

Mailing address

PO Box 1165
Evansville, IN 47706-1165
Phone (812) 471-1591

Other identifiers 1

IdentifierTypeStateIssuer
200039810MedicaidIN

Other names 1

  • Terre Haute Eye Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1750417309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1165",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061165",
            "telephone_number": "812-471-1591",
            "fax_number": "812-471-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3498 S 4TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024168",
            "telephone_number": "877-499-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN S. MCGLOTHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "MCGLOTHAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-467-2392",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200039810",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terre Haute Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.