NPIMap

Organization Active NPI

Eyecare Experience, LLC

  • Optometrist
  • Lafayette, IN
National Provider Identifier
1922211549
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002231 Issued in IN
Legal business name
EYECARE EXPERIENCE, LLC
Practice address
3526 Osborn LN
Suite F
Lafayette, IN 47909-3998
Phone
(765) 477-2000
Fax
(765) 477-2002
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Authorized official

Name
Dr. Craig Lee McManis, O.D.NPI 1689651275
Title
President
Phone
(765) 477-2000

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 18002231 IN Primary

Addresses

Primary practice location

3526 Osborn LN
Suite F
Lafayette, IN 47909-3998

Mailing address

3526 Osborn LN
Suite F
Lafayette, IN 47909-3998
Phone (765) 477-2000

National Provider Directory

National Provider Directory

Locations

206 E 5th St
Fowler, IN 47944

3526 Osborne Ln
Ste F
Lafayette, IN 47909
Phone (765) 477-2000

Practitioners & affiliated clinicians

Practitioners 9

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1922211549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 OSBORN LN",
            "address_2": "SUITE F",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479093998",
            "telephone_number": "765-477-2000",
            "fax_number": "765-477-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 OSBORN LN",
            "address_2": "SUITE F",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479093998",
            "telephone_number": "765-477-2000",
            "fax_number": "765-477-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE EXPERIENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "MCMANIS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-477-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.