NPIMap

Organization Active NPI

Family Eye Clinic, P.C.

Doing business as Family Eye Care

  • Optometrist
  • Berne, IN
National Provider Identifier
1891778098
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002194B Issued in IN
Legal business name
FAMILY EYE CLINIC, P.C.
Doing business as
Family Eye Care
Practice address
150 Forest Park Dr
Berne, IN 46711-1745
Phone
(260) 589-3197
Fax
(260) 589-2911
NPI assigned
Nov 22, 2005
Last updated
Feb 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Steven A. Degroff, O.D.NPI 1417939273
Title
President
Phone
(260) 589-3197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002194B IN Primary

Addresses

Primary practice location

150 Forest Park Dr
Berne, IN 46711-1745

Mailing address

150 Forest Park Drive
P.O. Box 30
Berne, IN 46711-0030
Phone (260) 589-3197

Other identifiers 1

IdentifierTypeStateIssuer
410049706OtherINRR MEDICARE

Other names 1

  • Family Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

150 Forest Park Dr
Berne, IN 46711
Phone (260) 559-3197

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1891778098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 FOREST PARK DRIVE",
            "address_2": "P.O. BOX 30",
            "city": "BERNE",
            "state": "IN",
            "postal_code": "467110030",
            "telephone_number": "260-589-3197",
            "fax_number": "260-589-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FOREST PARK DR",
            "city": "BERNE",
            "state": "IN",
            "postal_code": "467111745",
            "telephone_number": "260-589-3197",
            "fax_number": "260-589-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "DEGROFF",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-589-3197",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002194B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "410049706",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.