Pendleton Family Optometry PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003294A Issued in IN

Legal business name

PENDLETON FAMILY OPTOMETRY PC

Practice address

120 E State St
Pendleton, IN 46064-1027

Phone

(765) 778-7524

Fax

(765) 778-7525

NPI assigned

Sep 25, 2007

Last updated

Sep 18, 2023By 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. Megan N Jones, O.D.NPI 1962496430

Title

Owner

Phone

(765) 778-7524

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Megan N Jackson OD PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 5

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.

• Megan Noel Jones, OD

  • Optometrist
  • Pendleton, IN
  • NPI 1962496430
  Medicare reassignment Care Compare group NPD Authorized official
• Rebecca Jane Hales, OD

  • Optometrist
  • Pendleton, IN
  • NPI 1205498011
  Medicare reassignment Care Compare group NPD
• Jerry B. Lamberson, O. D.

  • Optometrist
  • New Castle, IN
  • NPI 1295723427
  Medicare reassignment NPD
• Catheran Alice Crafton, OD

  • Optometrist
  • Pendleton, IN
  • NPI 1346238896
  NPD (past)
• Tracy L Crane, OD

  • Optometrist
  • Bloomington, IN
  • NPI 1134298516
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1932396827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E STATE ST",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460641027",
            "telephone_number": "765-778-7524",
            "fax_number": "765-778-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E STATE ST",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460641027",
            "telephone_number": "765-778-7524",
            "fax_number": "765-778-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDLETON FAMILY OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-778-7524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003294A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "A03409",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000350073",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Megan N Jackson OD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Megan N Jackson OD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Whitney Owens
• Deepkumar Patel, DDS, MPH
• Nirav Patel
• Pendleton Counseling Services
• Pendleton Emergency Ambulance Inc
• Pendleton Lowcost Prescription
• PFD LLC
• Pharmobile LLC
• Cody Phipps, RBT
• Lauren M Pothier, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.