Oculofacial Plastic and Orbital Surgery, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

01026942A Issued in IN

Legal business name

OCULOFACIAL PLASTIC AND ORBITAL SURGERY, LLC

Practice address

201 Pennsylvania Pkwy
Suite 225
Indianapolis, IN 46280-2301

Phone

(317) 573-1000

Fax

(317) 573-0205

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William R Nunery, MD

Title

President

Phone

(317) 573-1000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Whitewater Eye Centers LLC

  dba Whitewater Eye Center Richmond

  • Ophthalmology Physician
  • Richmond, IN
  • NPI 1962635052

  Member Of

  NPD member

Locations

Interoperability endpoints

• Direct secure messaging: hlee@opos.intellechartdirect.net
• Direct secure messaging: jpark@opos.intellechartdirect.net

Practitioners 7

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

• Michael Myung-Sup Han, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Carmel, IN
  • NPI 1003443300
  Medicare reassignment Care Compare group NPD
• Hui Bae Harold Lee, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Indianapolis, IN
  • NPI 1801874599
  Medicare reassignment Care Compare group
• Keegan Brady Mechels

  • Ophthalmology Physician
  • Omaha, NE
  • NPI 1821558420

  IN, Multi-Specialty

  Medicare reassignment NPD
• Mark Krakauer, M.D.

  • Ophthalmology Physician
  • Allentown, PA
  • NPI 1063655181
  NPD (past)
• Hassan Shah

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Chicago, IL
  • NPI 1659412682
  NPD (past)
• Jeremiah Tao, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Irvine, CA
  • NPI 1841292257
  NPD (past)
• Peter John Timoney, MBBCH

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Lexington, KY
  • NPI 1033375597
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1881788735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PENNSYLVANIA PKWY",
            "address_2": "SUITE 225",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462802301",
            "telephone_number": "317-573-1000",
            "fax_number": "317-573-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PENNSYLVANIA PKWY",
            "address_2": "SUITE 225",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462802301",
            "telephone_number": "317-573-1000",
            "fax_number": "317-573-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULOFACIAL PLASTIC AND ORBITAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "NUNERY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-573-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01026942A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deana Ochoa
• Cala Ochs, LCSW
• Monica Silvia Oclander, NP
• Adrianna Oconnor
• Justin M Oconnor, LMHC
• Ayham Moukhles Odeh, MD
• Bolanle Odejide, RRT
• Ajibade Timothy Odejobi I
• Andree M Odell, NP
• Daniel Odell, DC

• Specialist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.