Organization Active NPI

Fishers Eye Care, LLC

  • Optometrist
  • Fishers, IN
National Provider Identifier
1972517290
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001586AB Issued in IN
Legal business name
FISHERS EYE CARE, LLC
Practice address
11559 Cumberland Rd
Suite 300
Fishers, IN 46037-9787
Phone
(317) 594-5000
Fax
(317) 594-5056
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Dr. James Daugherty, OD
Title
Owner
Phone
(317) 594-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18001586AB IN Primary

Addresses

Primary practice location

11559 Cumberland Rd
Suite 300
Fishers, IN 46037-9787

Mailing address

11559 Cumberland Rd
Suite 300
Fishers, IN 46037-9787
Phone (317) 594-5000

Other identifiers 1

IdentifierTypeStateIssuer
100426950MedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1972517290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11559 CUMBERLAND RD",
            "address_2": "SUITE 300",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379787",
            "telephone_number": "317-594-5000",
            "fax_number": "317-594-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11559 CUMBERLAND RD",
            "address_2": "SUITE 300",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379787",
            "telephone_number": "317-594-5000",
            "fax_number": "317-594-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHERS EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-594-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001586AB",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100426950",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.