Active NPI
Eyecare Consultants LLP
- Ophthalmology Physician
- Evansville, IN
National Provider Identifier
1922061688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- EYECARE CONSULTANTS LLP
- Practice address
- 101 NW 1St St
Suite 112
Evansville, IN 47708-1259 - Phone
- (812) 426-2020
- Fax
- (812) 426-2828
- NPI assigned
- Apr 11, 2006
- 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
- Mr. Matthew M Boyer, MD
- Title
- Owner
- Phone
- (812) 426-2020
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002611A | IN | |
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
101 NW 1St St
Suite 112
Evansville, IN 47708-1259
Mailing address
101 NW 1St St
Suite 112
Evansville, IN 47708-1259
Phone (812) 426-2020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200309980 | Medicaid | IN | |
| CM8132 | Other | IN | PALMENTO GBA |
| 15D2023475 | Other | IN | CLIA CERTIFICATE OF WAIVER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
101 NW 1st St
Evansville, IN 47708
Phone (812) 426-2020
101 NW 1st St
Ste 112
Evansville, IN 47708
Phone (800) 643-8197
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Evansville, IN
- NPI 1346245453
-
- Optometrist
- Evansville, IN
- NPI 1255998308
-
- Optometrist
- Evansville, IN
- NPI 1609878990
-
- Ophthalmology Physician
- Evansville, IN
- NPI 1568460129
-
- Ophthalmology Physician
- Louisville, KY
- NPI 1073514717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379289600000",
"number": "1922061688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 NW 1ST ST",
"address_2": "SUITE 112",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477081259",
"telephone_number": "812-426-2020",
"fax_number": "812-426-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NW 1ST ST",
"address_2": "SUITE 112",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477081259",
"telephone_number": "812-426-2020",
"fax_number": "812-426-2828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYECARE CONSULTANTS LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-11",
"last_updated": "2013-09-16",
"status": "A",
"authorized_official_last_name": "BOYER",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-426-2020",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IN",
"license": "18002611A",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200309980",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMENTO GBA",
"identifier": "CM8132",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA CERTIFICATE OF WAIVER",
"identifier": "15D2023475",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.