NPIMap

Organization Active NPI

Brownsburg Family Eyecare PC

  • Optometrist
  • Brownsburg, IN
National Provider Identifier
1811034259
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001609B Issued in IN
Legal business name
BROWNSBURG FAMILY EYECARE PC
Practice address
90 Hornaday Road
Brownsburg, IN 46112-0809
Phone
(317) 852-4741
Fax
(317) 858-2967
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Authorized official

Name
Richard M Hoffman, O.D.NPI 1629072095
Title
President
Phone
(317) 852-4741

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18001609B IN Primary

Addresses

Primary practice location

90 Hornaday Road
Brownsburg, IN 46112-0809

Mailing address

90 Hornaday Road
Brownsburg, IN 46112-0809
Phone (317) 852-4741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091116000269 IN Part B Supplier - Clinic/Group Practice 4486792231 Receives reassigned benefits from 5 practitioners
Practice locations: Brownsburg, IN
O20100930013103 IN DME Supplier - Physician - OptometristDME Supplier - Optician 4486792231 Practice locations: Brownsburg, 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Brownsburg Family Eye Care PC90 Hornaday Rd, Brownsburg, IN 46112-1450(317) 852-4741 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Nov 2, 2008

National Provider Directory

National Provider Directory

Locations

90 Hornaday Rd
Brownsburg, IN 46112
Phone (317) 852-4741

Practitioners & affiliated clinicians

Practitioners 7

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1811034259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HORNADAY ROAD",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461120809",
            "telephone_number": "317-852-4741",
            "fax_number": "317-858-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HORNADAY ROAD",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461120809",
            "telephone_number": "317-852-4741",
            "fax_number": "317-858-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSBURG FAMILY EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-852-4741",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001609B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.