Organization Active NPI

Dei of Indiana, Inc.

  • Optometrist
  • Carmel, IN
National Provider Identifier
1962069088
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DEI OF INDIANA, INC.
Practice address
3985 W. 106TH Street
Suite 120
Carmel, IN 46032
Phone
(574) 876-0974
NPI assigned
May 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Authorized official

Name
David R Britzke, O.D.
Title
Owner/Optometrist
Phone
(574) 876-0974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3985 W. 106TH Street
Suite 120
Carmel, IN 46032

Mailing address

2312 E Jackson Blvd
Elkhart, IN 46516-4640
Phone (574) 876-0974

Other names 1

  • DEI of Indiana, Inc. Other name

National Provider Directory

National Provider Directory

Locations

3985 W 106th St
Ste 100
Carmel, IN 46032
Phone (888) 334-4325

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1962069088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 E JACKSON BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465164640",
            "telephone_number": "574-876-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 W. 106TH STREET",
            "address_2": "SUITE 120",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46032",
            "telephone_number": "574-876-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEI OF INDIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "BRITZKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "574-876-0974",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEI of Indiana, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.