Active NPI
Ophthalmology Consultants of Fort Wayne PC
- Eyewear Supplier
- Fort Wayne, IN
National Provider Identifier
1972671386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 50002512A
- Legal business name
- OPHTHALMOLOGY CONSULTANTS OF FORT WAYNE PC
- Practice address
- 7232 Engle Rd
Fort Wayne, IN 46804-2222 - Phone
- (260) 436-7205
- Fax
- (260) 432-1339
- NPI assigned
- Dec 1, 2006
- 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
- Tricia Pieper
- Title
- Practice Manager
- Phone
- (260) 436-7205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 50002512A | IN | Primary |
Addresses
Primary practice location
7232 Engle Rd
Fort Wayne, IN 46804-2222
Mailing address
7232 Engle Rd
Fort Wayne, IN 46804-2222
Phone (260) 436-7205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930064867 | IN | DME Supplier - Physician - Ophthalmology | 4789657974 | Practice locations: Fort Wayne, IN |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Surgery Center of Ophthalmology Consultants
- Ambulatory Surgical Clinic/Center
- Fort Wayne, IN
- NPI 1194708792
4789657974
-
- Ophthalmology Physician
- Fort Wayne, IN
- NPI 1861476210
4789657974
National Provider Directory
National Provider Directory- Tax ID family
- Ophthalmology Consultan
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Fort Wayne, IN
- NPI 1538366463
-
dba Surgery Center of Ophthalmology Consultants
- Ambulatory Surgical Clinic/Center
- Fort Wayne, IN
- NPI 1194708792
-
- Ophthalmology Physician
- Fort Wayne, IN
- NPI 1457334054
-
- Ophthalmology Physician
- Fort Wayne, IN
- NPI 1861476210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596585600000",
"number": "1972671386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7232 ENGLE RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468042222",
"telephone_number": "260-436-7205",
"fax_number": "260-432-1339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7232 ENGLE RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468042222",
"telephone_number": "260-436-7205",
"fax_number": "260-432-1339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPHTHALMOLOGY CONSULTANTS OF FORT WAYNE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A",
"authorized_official_last_name": "PIEPER",
"authorized_official_first_name": "TRICIA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "260-436-7205"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "IN",
"license": "50002512A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
- Khin Mar Oo, MD
- Open View MRI, LLC
- Bradley Ophoff
- Ophthalmology Consultants of Fort Wayne
- Ophthalmology Consultants of Fort Wayne PC (Surgery Center of Ophthalmology Consultants)
- Ophthalmology Consultants of Fort Wayne, P.C.
- Ophthalmology Consultants of Fort Wayne, P.C.
- Danny Lee Opoien, R.PH.
- Francisca Opoku
- Opulent Home Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.