Eye Center Group, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE CENTER GROUP, LLC

Doing business as

Portland Eye Center

Practice address

1111 N Meridian St
Portland, IN 47371-1024

Phone

(260) 726-4210

Fax

(260) 726-9347

NPI assigned

Nov 1, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey S Rapkin, M.D.

Title

Part Owner

Phone

(765) 286-8888

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Portland Eye Center Doing business as

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1861483612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473750457",
            "telephone_number": "765-966-1945",
            "fax_number": "765-966-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N MERIDIAN ST",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473711024",
            "telephone_number": "260-726-4210",
            "fax_number": "260-726-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CENTER GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "RAPKIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "765-286-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2085863",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David C Dunnington, MD
• Camille Anne Elick-Shawver, NP
• Robert Bruce Elliott II, M.D.
• Thomas EMS, MD
• Kyle Epler, LPN
• Family Practice of Jay County
• Rebekah S Ferrell, RN, FNP
• Carla Ann Ford, L.C.S.W.
• David A Fullenkamp, O.D.
• Ruth A Funk

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.