NPIMap

Organization Active NPI

Lithia E. Jimenez,OD, LLC

  • Optometrist
  • Bloomington, IN
National Provider Identifier
1912380262
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002601B Issued in IN
Legal business name
LITHIA E. JIMENEZ,OD, LLC
Practice address
355 S Landmark Ave
Bloomington, IN 47403-5002
Phone
(812) 333-4220
Fax
(812) 333-4211
NPI assigned
Jul 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Authorized official

Name
Dr. Lithia Enid Jimenez, ODNPI 1932241072
Title
Owner
Phone
(812) 333-4220

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18002601B IN Primary

Addresses

Primary practice location

355 S Landmark Ave
Bloomington, IN 47403-5002

Mailing address

355 S Landmark Ave
Bloomington, IN 47403-5002
Phone (812) 333-4220

Other names 1

  • Landmark Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

355 S Landmark Ave
Bloomington, IN 47403
Phone (812) 333-4220

Practitioners & affiliated clinicians

Practitioners 1

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": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1912380262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035002",
            "telephone_number": "812-333-4220",
            "fax_number": "812-333-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035002",
            "telephone_number": "812-333-4220",
            "fax_number": "812-333-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITHIA E. JIMENEZ,OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "LITHIA",
        "authorized_official_middle_name": "ENID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-333-4220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002601B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landmark Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.