Eyecare Indiana II, PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYECARE INDIANA II, PC

Practice address

14 Professional CT
Lafayette, IN 47905-5152

Phone

(765) 447-5083

Fax

(765) 448-4716

NPI assigned

Oct 2, 2012

Organization subpart

No

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

Authorized official

Name

Terri Peschke

Title

Coo

Phone

(574) 291-9200

Specialties & licenses 1

Addresses

Other names 1

• C&B OPTICAL ONE Doing business as

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1770834699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 S MICHIGAN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142545",
            "telephone_number": "574-291-9200",
            "fax_number": "574-299-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PROFESSIONAL CT",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055152",
            "telephone_number": "765-447-5083",
            "fax_number": "765-448-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE INDIANA II, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "PESCHKE",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "574-291-9200"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C&B OPTICAL ONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Jean Evans, CNM
• Cindy Marie Everett, NP
• Eyecare Experience, LLC
• Eyecare Holdings LLC
• Eyecare Indiana
• Eyecare Indiana LL, PC
• Eyewear by Design, LLC
• Cydney Eylens
• Sylvia M Ezra, PHARMD
• Melanie Fackler

• Optometrist in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.