Organization Active NPI

Vasilis Makris, MD PC

Doing business as Makris Vision Group

  • Ophthalmology Physician
  • Muncie, IN
National Provider Identifier
1801891031
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VASILIS MAKRIS, MD PC
Doing business as
Makris Vision Group
Practice address
3300 W Purdue Ave
Muncie, IN 47304-6355
Phone
(765) 288-1935
Fax
(765) 289-5032
NPI assigned
Jun 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Dr. Vasilis Makris, M.D.NPI 1407827678
Title
Medical Director
Phone
(765) 288-1935

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 MULTIPLE SINGLE SPECIALTY GROUP 207W00000X IN Primary

Addresses

Primary practice location

3300 W Purdue Ave
Muncie, IN 47304-6355

Mailing address

3300 W Purdue Ave
Muncie, IN 47304-6355
Phone (765) 288-1935

Other identifiers 4

IdentifierTypeStateIssuer
CA1773OtherINRAILROAD MEDICARE
200022960AMedicaidIN
2091605MedicaidOH
200022960KMedicaidIN

Other names 1

  • Makris Vision Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091008000369 IN Part B Supplier - Clinic/Group Practice 8022006162 Receives reassigned benefits from 2 practitioners
Practice locations: Fishers, IN; Muncie, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2067022Vasilis Makris MD PC3300 W Purdue Ave, Muncie, IN 47304Certificate of waiverOct 7, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1801891031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 W PURDUE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046355",
            "telephone_number": "765-288-1935",
            "fax_number": "765-289-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W PURDUE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046355",
            "telephone_number": "765-288-1935",
            "fax_number": "765-289-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASILIS MAKRIS, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "MAKRIS",
        "authorized_official_first_name": "VASILIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "765-288-1935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA1773",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200022960A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2091605",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200022960K",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Makris Vision Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.