THE TRUSTEES OF INDIANA UNIVERSITY


Address: 800 E Atwater Ave, Bloomington, IN 47405-3635
Phone: 8128565602

THE TRUSTEES OF INDIANA UNIVERSITY (NPI# 1356675540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356675540
Entity Type Organization
Organization Name THE TRUSTEES OF INDIANA UNIVERSITY
Other Organization Name I.U. SCHOOL OF OPTOMETRY
Practice Address 800 E Atwater Ave
Bloomington
IN 47405-3635
Practice Telephone 8128565602
Practice Fax Number 8128556116
Mailing Telephone 8128565602
Mailing Fax Number 8128556116
Enumeration Date 2009-09-22
Last Update Date 2009-09-22
Authorized Official Name DR. DOUGLAS G. HORNER (DIRECTOR OF CLINICAL ADMINISTRATION)
Authorized Official Telephone 8128554447
Authorized Official Credential O.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 152WC0802X Optometrist
Specialization: Corneal and Contact Management
Eye and Vision Services Providers
N 152WL0500X Optometrist
Specialization: Low Vision Rehabilitation
Eye and Vision Services Providers
N 152WP0200X Optometrist
Specialization: Pediatrics
Eye and Vision Services Providers
N 152WS0006X Optometrist
Specialization: Sports Vision
Eye and Vision Services Providers
N 152WV0400X Optometrist
Specialization: Vision Therapy
Eye and Vision Services Providers
N 152WX0102X Optometrist
Specialization: Occupational Vision
Eye and Vision Services Providers
Y 152W00000X Optometrist Eye and Vision Services Providers

Other Provider/Organization Names

Other Name Type Code
I.U. School of Optometry Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336538917 The Trustees of Indiana University Family Medicine 1001 E 17th St, Assembly Hall, Bloomington, IN 47408-1590 2015-01-20

Office Location

Street Address 800 E ATWATER AVE
City BLOOMINGTON
State IN
Zip Code 47405-3635

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134108665 Todd David Peabody Optometrist 800 E Atwater Ave, Bloomington, IN 47405-3635 2006-01-12
1295234763 Joshua Allan Stommes Optometrist 800 E Atwater Ave, Bloomington, IN 47405 2018-02-09
1467682930 Meredith Elaine Jansen Optometrist 800 E Atwater Ave, Bloomington, IN 47405-3635 2009-07-20
1376700658 Christopher Anderson Clark Optometrist 800 E Atwater Ave, Bloomington, IN 47405-3635 2008-05-22
1760664254 Nikole L Himebaugh Optometrist 800 E Atwater Ave, Bloomington, IN 47405-3635 2007-11-27
1871613984 Ed Marshall Optometrist 800 E Atwater Ave, Bloomington, IN 47405-3635 2007-03-30
1902867500 Deborah Plass Optometrist 800 E Atwater Ave, Bloomington, IN 47405-3635 2006-03-31
1568422467 Dean Vannasdale Optometrist 800 E Atwater Ave, Bloomington, IN 47405-3635 2006-03-24
1639139561 Gerald D Lowther Optometrist 800 E Atwater Ave, Bloomington, IN 47405-3635 2006-03-24
1699735977 Richard E. Meetz Optometrist 800 E Atwater Ave, Bloomington, IN 47405-3635 2006-03-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245786896 Jennifer Whitley Speech-Language Pathologist 200 S. Jordan Avenue, Bloomington, IN 47405 2016-09-01
1801342621 William Daniels Jr. Health Educator 600 N. Jordan Ave., Bloomington, IN 47405 2016-08-31
1588053664 Sara Anne Boyer Preventive Medicine 1025 E. 7th Street, Rm C200, School of Public Health, Indiana University, Bloomington, IN 47405 2015-01-13
1437438181 Walter Lawrence Campbell Counselor 600 N. Jordan Ave, Bloomington, IN 47405 2011-08-12
1568580314 Linda Jean Noble Physical Therapist Indiana University Health Center, 600 North Jordan Ave., Bloomington, IN 47405 2007-03-27
1811482854 Alexandria Lui Optometrist 744 E 3rd St, Bloomington, IN 47405 2018-06-22
1548410038 Elin C Grimes Dietitian, Registered 600 N Jordan Ave, Indiana University Health Center, Bloomington, IN 47405 2008-09-22
1366432528 Rebecca D. Eberle Speech-Language Pathologist 200 S Jordan Ave, Department of Speech and Hearing Sciences, Bloomington, IN 47405 2005-10-27
1477171122 Ellen Vaughan Psychologist 201 N Rose Ave Rm 4054, Bloomington, IN 47405-1005 2020-07-09
1245352855 Kimberly Wagner Psychologist 201 N Rose Ave, Room 32, Bloomington, IN 47405-1005 2007-04-04
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518430859 Visionpoint Eye Center LLC Optometrist 1107 Airport Road, Bloomington, IL 61704 2019-01-09
1245650639 Scott A Miller Od LLC Optometrist 3313 W State Road 45, Bloomington, IN 47403-5107 2014-04-24
1184044224 Thomas Gast Optometrist 414 S Meadowbrook Dr, Bloomington, IN 47401-4227 2014-04-16
1740520790 Hoosier Eye Doctor Inc Optometrist 4719 W State Road 46, Bloomington, IN 47404-9518 2013-02-27
1285979377 Jenna Marie Dale Optometrist 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 2012-11-30
1558661918 Shu Sheng Phung Optometrist 315 S Center St, Bloomington, IL 61701-5101 2010-11-01
1760610265 Denver Joseph Mcdaniel Optometrist 1105 S College Mall Rd, Bloomington, IN 47401-6177 2009-06-24
1194987131 Diana Lynn Christensen Optometrist 3205 West State Road 45, Christensen Eye Care, Bloomington, IN 47403 2008-07-01
1548458623 William B. Witte, Ltd Optometrist 2409 E Washington St, Bloomington, IL 61704-4483 2007-10-14
1740472216 Mark A Houser Optometrist 3818 W Woodyard Rd, Bloomington, IN 47404-1430 2007-08-17
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City BLOOMINGTON
Zip Code 47405

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Dataset Information

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.

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