NPIMap

Organization Active NPI

Comprehensive Eye Care of Indiana PC

  • Ophthalmology Physician
  • Indianapolis, IN
National Provider Identifier
1750495263
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
50003808A Issued in IN
Legal business name
COMPREHENSIVE EYE CARE OF INDIANA PC
Practice address
7301 N Shadeland Ave
Indianapolis, IN 46250-2085
Phone
(317) 845-1305
Fax
(317) 842-3621
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
George Elliott McCord, M.D.NPI 1992870885
Title
President
Phone
(317) 845-1305

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 50003808A IN Primary

Addresses

Primary practice location

7301 N Shadeland Ave
Indianapolis, IN 46250-2085

Mailing address

6418 Landborough South Dr
Indianapolis, IN 46220-4357
Phone (317) 845-1305

Other identifiers 2

IdentifierTypeStateIssuer
000000104148OtherINANTHEM BLUE NETWORK
317426300OtherTRICARE CHAMPUS

National Provider Directory

National Provider Directory

Locations

7301 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 845-1305

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1750495263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6418 LANDBOROUGH SOUTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204357",
            "telephone_number": "317-845-1305",
            "fax_number": "317-842-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502085",
            "telephone_number": "317-845-1305",
            "fax_number": "317-842-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE EYE CARE OF INDIANA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "MCCORD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-845-1305",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "50003808A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE NETWORK",
            "identifier": "000000104148",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE CHAMPUS",
            "identifier": "317426300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.