Eye Associates Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYE ASSOCIATES OPTICAL

Practice address

1101 N Jim Day Rd
Salem, IN 47167-7218

Phone

(812) 896-1717

Fax

(812) 896-1296

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Burnett, OD

Title

Owner

Phone

(812) 896-1717

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790798916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N JIM DAY RD",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471677218",
            "telephone_number": "812-896-1717",
            "fax_number": "812-896-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N JIM DAY RD",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471677218",
            "telephone_number": "812-896-1717",
            "fax_number": "812-896-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-896-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Dawn Elam
• Sarah Elliott, PHARM.D.
• Abigail Ellis
• Everside Health, LLC
• Eye Associates of Southern Indiana PC
• Kacey Ford, RN
• Forefront Dermatology, S.C.
• Forefront Dermatology, S.C.
• Nicole Galamin, PHARMD, MBA
• Jennifer Garvin, LMHC

• All providers in Salem, IN
• Eyewear Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.