Sullivan Family Eye Care P C

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003075 Issued in IN

Legal business name

SULLIVAN FAMILY EYE CARE P C

Practice address

117 S Main St
Sullivan, IN 47882-1804

Phone

(812) 268-4700

Fax

(812) 268-4701

NPI assigned

Nov 1, 2006

Last updated

Aug 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Harold Jones, OD

Title

Owner/President

Phone

(812) 268-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 2

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.

• William Harold Jones Jr, OD

  • Optometrist
  • Sullivan, IN
  • NPI 1467448845
  Medicare reassignment NPD
• Wagih A Satar, M.D.

  • Ophthalmology Physician
  • Princeton, IN
  • NPI 1346218401
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1932286374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S MAIN ST",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478821804",
            "telephone_number": "812-268-4700",
            "fax_number": "812-268-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S MAIN ST",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478821804",
            "telephone_number": "812-268-4700",
            "fax_number": "812-268-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN FAMILY EYE CARE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "812-268-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200440140",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sullivan County Community Hospital
• Sullivan County Community Hospital
• Sullivan County Community Hospital
• Sullivan County Community Hospital (Sullivan County Community Hospital Home Health)
• Sullivan Family Dentistry, LLC
• Sullivan Family Practice, LLC
• Sullivan Health & Living Center, Inc.
• Sullivan Rehabilitation & Sports Physical Therapy, Inc.
• Sullivan Surgicenter,LLC
• Alfred R Talens, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.

Verify at the official NPI Registry.