Indiana University Eye Care, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003053 Issued in IN

Legal business name

INDIANA UNIVERSITY EYE CARE, INC.

Practice address

1001 Hadley Rd
Suite 103
Mooresville, IN 46158-1883

Phone

(317) 274-2020

Fax

(317) 274-3265

NPI assigned

Nov 19, 2012

Organization subpart

Yes

Parent organization

INDIANA UNIVERSITY EYE CARE, INC.As reported in NPPES

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

Authorized official

Name

Dr. Louis B Cantor, M.D.

Title

Chairman

Phone

(317) 278-2651

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• IU Eye Care, Inc. Other name

Part of

Indiana Univ Eye Care I

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Indiana University Eye Care Inc.

  • Ophthalmology Physician
  • Indianapolis, IN
  • NPI 1548261894
  NPPES parent name

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1780928408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 W MICHIGAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025209",
            "telephone_number": "317-274-2020",
            "fax_number": "317-274-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HADLEY RD",
            "address_2": "SUITE 103",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581883",
            "telephone_number": "317-274-2020",
            "fax_number": "317-274-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY EYE CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDIANA UNIVERSITY EYE CARE, INC.",
        "enumeration_date": "2012-11-19",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "CANTOR",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "317-278-2651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003053",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC PTAN",
            "identifier": "6760130003",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100067460",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IU Eye Care, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Lynn Huffman, FNP-C
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• Marita Illescas, DPT
• Gregg A Imel, MD
• Indiana Heart Physicians, Inc.
• Jennifer Ingram, LCSW
• Neal Edward Ipema, M.D.
• Jackson Center for Conductive Education Inc
• Monica Elizabeth Jarrett, FNP-C
• Cherryl Ann Jedele I

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.