NPIMap

Organization Active NPI

Clearview Eye Care of Indiana

  • Ophthalmology Physician
  • Indianapolis, IN
National Provider Identifier
1891748497
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01044242A Issued in IN
Legal business name
CLEARVIEW EYE CARE OF INDIANA
Practice address
8071 Township Line Road
Suite 200
Indianapolis, IN 46260-2601
Phone
(317) 357-8663
Fax
(317) 357-1841
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Kim Young
Title
Office Manager
Phone
(317) 357-8663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 01044242A IN Primary

Addresses

Primary practice location

8071 Township Line Road
Suite 200
Indianapolis, IN 46260-2601

Mailing address

8071 Township Line Road
Suite 200
Indianapolis, IN 46260-2601
Phone (317) 357-8663

Other identifiers 5

IdentifierTypeStateIssuer
200275230BMedicaidIN
DC5434OtherINMEDICARE ID
300097366MedicaidIN
200275230CMedicaidIN
200275230AMedicaidIN

Other names 1

  • Community Eye Care of Indiana Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040817001487 IN Part B Supplier - Clinic/Group Practice 9830162833 Receives reassigned benefits from 4 practitioners
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

8071 Township Line Rd
Ste 200
Indianapolis, IN 46260
Phone (317) 357-8663

1400 N Ritter Ave
Ste 281
Indianapolis, IN 46219
Phone (317) 357-8663

8071 Township Line Rd
Indianapolis, IN 46260
Phone (317) 875-7333

50 E 91st St
Ste 104
Indianapolis, IN 46240
Phone (317) 844-6180

Practitioners & affiliated clinicians

Practitioners 12

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1891748497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8071 TOWNSHIP LINE ROAD",
            "address_2": "SUITE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602601",
            "telephone_number": "317-357-8663",
            "fax_number": "317-357-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8071 TOWNSHIP LINE ROAD",
            "address_2": "SUITE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602601",
            "telephone_number": "317-357-8663",
            "fax_number": "317-357-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARVIEW EYE CARE OF INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-03-05",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-357-8663"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01044242A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200275230B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "DC5434",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300097366",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200275230C",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200275230A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Eye Care of Indiana",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.