DR. JOHN D. MCKENNA, OPTOMETRIST, LLC (NPI# 1245645720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245645720 |
| Entity Type | Organization |
| Organization Name | DR. JOHN D. MCKENNA, OPTOMETRIST, LLC |
| Other Organization Name | MCKENNA FAMILY EYE CARE |
| Practice Address |
1511 N Post Rd Indianapolis IN 46219-4247 |
| Practice Telephone | 3178991017 |
| Practice Fax Number | 3178991660 |
| Mailing Telephone | 3178991017 |
| Mailing Fax Number | 3178991660 |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |
| Authorized Official Name | DR. JOHN DAVID MCKENNA II (MANAGING MEMBER) |
| Authorized Official Telephone | 3178991017 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18003120B | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 1104825900 | 05 | |
| IN | MEDICARE ID- TYPE UNSPECIFIED | 220830 | 01 |
| Other Name | Type Code |
|---|---|
| McKenna Family Eye Care | Doing Business As Name - Organization |
| Street Address |
1511 N POST RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-4247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104825900 | John David Mckenna II | Optometrist | 1511 N Post Rd, Indianapolis, IN 46219-4247 | 2005-07-14 |
| 1326323502 | Dr. John D. Mckenna Optometrist, LLC | Optometrist | 1511 N Post Rd, Indianapolis, IN 46219-4247 | 2011-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437774486 | Meret Thomas-huebner | Optometrist | 1160 W Michigan St Unit 100, Indianapolis, IN 46202-5209 | 2020-06-15 |
| 1013560333 | Nhi Thi Tuyet Nguyen | Optometrist | 1901 N Meridian Street, Indianapolis, IN 46202-1303 | 2019-07-17 |
| 1356900195 | Myeyedr Optometry of Indiana, LLC | Optometrist | 8170 Oaklandon Rd Ste A, Indianapolis, IN 46236-9543 | 2019-06-06 |
| 1801382239 | Myeyedr Optometry of Indiana, LLC | Optometrist | 54 Monument Cir Ste 125, Indianapolis, IN 46204-3047 | 2018-07-09 |
| 1922594316 | Myeyedr Optometry of Indiana, LLC | Optometrist | 105 S Raceway Rd Ste 100, Indianapolis, IN 46231 | 2018-07-09 |
| 1386136380 | Samuel Petro | Optometrist | 8125 Wellsbrook Dr, Indianapolis, IN 46278-1254 | 2018-06-05 |
| 1306366232 | Chelsea Till | Optometrist | 9745 Fall Creek Rd Ste 400, Indianapolis, IN 46256-4730 | 2017-06-21 |
| 1225564420 | Ossip Optometry, PC | Optometrist | 7255 N Shadeland Ave, Indianapolis, IN 46250-2021 | 2017-05-08 |
| 1447799226 | City Optical Co., Inc. | Optometrist | 4916 S Emerson Ave, Indianapolis, IN 46203-5937 | 2017-02-14 |
| 1750820643 | Jcpl, LLC | Optometrist | 751 Massachusetts Ave, Indianapolis, IN 46204 | 2017-02-13 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
Please comment or provide details below to improve the information on DR. JOHN D. MCKENNA, OPTOMETRIST, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.