Organization Active NPI

Sickbert Family Eye Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Rushville, IN
National Provider Identifier
1962536623
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
18001939A Issued in IN
Legal business name
SICKBERT FAMILY EYE CARE LLC
Practice address
620 E 11TH St
Rushville, IN 46173-1319
Phone
(765) 932-5553
Fax
(765) 932-1813
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Dr. Steve R Sickbert, ODNPI 1306892971
Title
Owner
Phone
(765) 932-5553

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
Durable Medical Equipment & Medical Supplies 332B00000X 18001939A IN Primary

Addresses

Primary practice location

620 E 11TH St
Rushville, IN 46173-1319

Mailing address

620 E 11TH St
Rushville, IN 46173-1319
Phone (765) 932-5553

Other identifiers 1

IdentifierTypeStateIssuer
100215980AMedicaidIN

National Provider Directory

National Provider Directory

Locations

620 E 11th St
Rushville, IN 46173
Phone (765) 932-5553

Practitioners & affiliated clinicians

Practitioners 1

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1962536623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E 11TH ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731319",
            "telephone_number": "765-932-5553",
            "fax_number": "765-932-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E 11TH ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731319",
            "telephone_number": "765-932-5553",
            "fax_number": "765-932-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SICKBERT FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "SICKBERT",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-932-5553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "18001939A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100215980A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rushville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.