Allisonville Eye Care Center, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

18002130A Issued in IN

Legal business name

ALLISONVILLE EYE CARE CENTER, INC

Practice address

10967 Allisonville Rd
Suite 120
Fishers, IN 46038-2632

Phone

(317) 577-0707

Fax

(317) 577-1567

NPI assigned

Feb 23, 2007

Last updated

Jan 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark William Roark, O.D.

Title

President

Phone

(317) 577-0707

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Earls, O.D.

  • Optometrist
  • Indianapolis, IN
  • NPI 1598136251

  Single Specialty

  NPD
• Sydney Elizabeth Lee, OD

  • Optometrist
  • Indianapolis, IN
  • NPI 1508603853
  NPD

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1992830319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10967 ALLISONVILLE RD",
            "address_2": "SUITE 120",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382632",
            "telephone_number": "317-577-0707",
            "fax_number": "317-577-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10967 ALLISONVILLE RD",
            "address_2": "SUITE 120",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382632",
            "telephone_number": "317-577-0707",
            "fax_number": "317-577-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLISONVILLE EYE CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "ROARK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-577-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "18002130A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• De'Reon Allen
• Kristin Elizabeth Allen, OTR, CHT
• Allergy Partners, PLLC (Allergy Partners of Fishers)
• Alliance Chiropractic
• Allisonville Chiropractic LLC
• Allisonville Integrative Health
• Allisonville Integrative Health Services LLC
• Allisonville Outpatient Surgery Center, LLC
• Allyque Care Integrated Services LLC
• Cassie Elizabeth Alov, NP

• Clinic/Center in Fishers, IN
• Providers in Fishers, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.