Active NPI
Dei of Indiana, Inc.
- Optometrist
- Carmel, IN
National Provider Identifier
1962069088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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.
National Provider Directory
National Provider DirectoryLocations
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.