Active NPI
Jon Dooley, O.D., P.C.
- Optometrist
- Greensburg, IN
National Provider Identifier
1891977880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 56000154
- Legal business name
- JON DOOLEY, O.D., P.C.
- Practice address
- 1204 N Lincoln St
Greensburg, IN 47240-1251 - Phone
- (812) 663-7015
- Fax
- (812) 663-7136
- NPI assigned
- Nov 30, 2007
- Last updated
- Sep 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jon Steven Dooley, O.D.
- Title
- President
- Phone
- (812) 663-7015
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 56000154 | IN | Primary |
Addresses
Primary practice location
1204 N Lincoln St
Greensburg, IN 47240-1251
Mailing address
PO Box 606
Greensburg, IN 47240-0606
Phone (812) 663-7015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200088350A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1204 N Lincoln St
Greensburg, IN 47240
Phone (812) 663-7015
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Optometrist
- Greensburg, IN
- NPI 1144384835
-
- Optometrist
- Greensburg, IN
- NPI 1750475604
-
- Ophthalmology Physician
- Batesville, IN
- NPI 1013367119
-
- Ophthalmology Physician
- Richmond, IN
- NPI 1831651488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253232000000",
"number": "1891977880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 606",
"city": "GREENSBURG",
"state": "IN",
"postal_code": "472400606",
"telephone_number": "812-663-7015",
"fax_number": "812-663-7136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 N LINCOLN ST",
"city": "GREENSBURG",
"state": "IN",
"postal_code": "472401251",
"telephone_number": "812-663-7015",
"fax_number": "812-663-7136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JON DOOLEY, O.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-30",
"last_updated": "2009-09-18",
"status": "A",
"authorized_official_last_name": "DOOLEY",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-663-7015",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "56000154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200088350A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.