Indiana University Eye Care, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003053 Issued in IN

Legal business name

INDIANA UNIVERSITY EYE CARE, INC.

Practice address

2705 N Lebanon St
Suite 230
Lebanon, IN 46052-8621

Phone

(317) 274-2020

Fax

(317) 274-3265

NPI assigned

Aug 27, 2012

Last updated

Jun 27, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

INDIANA UNIVERSITY EYE CARE, INC.As reported in NPPES

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

Authorized official

Name

Dr. Louis B Cantor, M.D.

Title

Chairman

Phone

(317) 278-2651

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• IU Eye Care Inc. Other name

Part of

In Univ Eye Care Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Indiana University Eye Care Inc.

  • Ophthalmology Physician
  • Indianapolis, IN
  • NPI 1548261894
  NPPES parent name

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1902154842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 W MICHIGAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025209",
            "telephone_number": "317-274-2020",
            "fax_number": "317-274-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 N LEBANON ST",
            "address_2": "SUITE 230",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460528621",
            "telephone_number": "317-274-2020",
            "fax_number": "317-274-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY EYE CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDIANA UNIVERSITY EYE CARE, INC.",
        "enumeration_date": "2012-08-27",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "CANTOR",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "317-278-2651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003053",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100067460",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC PTAN",
            "identifier": "6760130001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IU Eye Care Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mark J Janicki, MD, FAAN
• Johnson & Johnson Chiropractic, Inc.

• Optometrist in Lebanon, IN
• Providers in Lebanon, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.