Union Optical and Eyecare Center, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

0133742008-000 Issued in IN

Legal business name

UNION OPTICAL AND EYECARE CENTER, INC.

Practice address

3343 Michael Ave
Bedford, IN 47421

Phone

(812) 279-3466

NPI assigned

Sep 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Alan McClain, OD

Title

President

Phone

(812) 279-3466

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Eyeconic Eyecare Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelley Lynn Deak, O.D.

  • Optometrist
  • Columbus, IN
  • NPI 1184728123
  NPD
• Chad M Coats, O.D.

  • Optometrist
  • Bowling Green, KY
  • NPI 1891959284
  NPD
• Kelsey K Bell, O.D.

  • Optometrist
  • Plymouth, IN
  • NPI 1215249719
  NPD (past)
• Jenna Marie Dale, O.D.

  • Optometrist
  • Bloomington, IN
  • NPI 1285979377
  NPD (past)

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1871743716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 MICHAEL AVE",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213535",
            "telephone_number": "812-279-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 MICHAEL AVE",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "47421",
            "telephone_number": "812-279-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION OPTICAL AND EYECARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-279-3466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003463",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IN",
            "license": "0133742008-000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200870690",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyeconic Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eyeconic Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Transitions Recovery, LLC
• Theresa Ann Travis, M.D.
• Cristal Lagail Trotter, CRNA
• Michelle Tucci, PT
• Chad Umphress, COTA
• Ashton E Valentine, RBT
• Jonikka Elizabeth Vance, LCSW
• Pekkuzhiyil Anthrayose Varghese, MD
• Shaina Faith Voorhies, PTA
• Georgi Wade, BS

• Eyewear Supplier in Bedford, IN
• Providers in Bedford, IN by specialty
• Eyewear Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.