Organization Active NPI

Dr Christy a Osborne and Associates, PC

  • Optometrist
  • Muncie, IN
National Provider Identifier
1811243231
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
IN18002129B Issued in IN
Legal business name
DR CHRISTY A OSBORNE AND ASSOCIATES, PC
Practice address
424 W Jackson St
Muncie, IN 47305-1585
Phone
(765) 289-1193
Fax
(765) 286-5992
NPI assigned
Aug 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Dr. Christy Anne Osborne, ODNPI 1508848334
Title
Owner/Ceo
Phone
(765) 289-1193

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 18002129B IN
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X IN18002129B IN Primary

Addresses

Primary practice location

424 W Jackson St
Muncie, IN 47305-1585

Mailing address

424 W Jackson St
Muncie, IN 47305-1585
Phone (765) 289-1193

Other identifiers 1

IdentifierTypeStateIssuer
100134950CMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120806000221 IN Part B Supplier - Clinic/Group Practice 2567663032 Receives reassigned benefits from 1 practitioner
Practice locations: Muncie, IN

National Provider Directory

National Provider Directory

Locations

424 W Jackson St
Muncie, IN 47305
Phone (765) 289-1193

119 E Charles St
Muncie, IN 47305
Phone (765) 289-1193

Practitioners & affiliated clinicians

Practitioners 1

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": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1811243231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 W JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473051585",
            "telephone_number": "765-289-1193",
            "fax_number": "765-286-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 W JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473051585",
            "telephone_number": "765-289-1193",
            "fax_number": "765-286-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHRISTY A OSBORNE AND ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "765-289-1193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002129B",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "IN18002129B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100134950C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.