EYEWEAR BY DESIGN, LLC (NPI# 1750457198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750457198 |
| Entity Type | Organization |
| Organization Name | EYEWEAR BY DESIGN, LLC |
| Practice Address |
1410 Union St Lafayette IN 47904-2060 |
| Practice Telephone | 7654234646 |
| Practice Fax Number | 7654231149 |
| Mailing Telephone | 7654234646 |
| Mailing Fax Number | 7654231149 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. THOMAS PAUL MATTINGLY (OWNER) |
| Authorized Official Telephone | 7654234646 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | EYEMED | IN6130 | 01 |
| Street Address |
1410 UNION ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043298292 | Thomas Paul Mattingly | Ophthalmology | 1410 Union St, Lafayette, IN 47904-2060 | 2006-01-07 |
| 1760744270 | Mattingly Center for Sight LLC | Ophthalmology | 1410 Union St, Lafayette, IN 47904-2060 | 2012-06-11 |
| 1639238165 | Mattingly Center for Sight LLC | Ophthalmology | 1410 Union St, Lafayette, IN 47904-2060 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407216492 | Dr Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 2141 Sagamore Pkwy South, Lafayette, IN 47905-5109 | 2016-03-03 |
| 1932507928 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4415 Amb Caffery Pkwy, Suite 119, Lafayette, LA 70508-6771 | 2014-12-08 |
| 1114244043 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 3630 State Road 26 E, Lafayette, IN 47905-4807 | 2010-05-03 |
| 1750545679 | Hopkins Opticians, Inc. | Eyewear Supplier (Equipment, not the service) | 3652 Rome Dr, Lafayette, IN 47905-4465 | 2008-07-10 |
| 1225208317 | Jennifer Carter | Eyewear Supplier (Equipment, not the service) | 2625 N Hwy 27, Walmart Vision Center, Lafayette, GA 30728 | 2008-03-05 |
| 1417087545 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 2300 Sagamore Parkway South, Lafayette, IN 47905 | 2007-03-07 |
| 1598892879 | Louisiana State Optical of Lafayette, Inc. | Eyewear Supplier (Equipment, not the service) | 2813 Johnston St, Lafayette, LA 70503-3243 | 2007-02-27 |
| 1346391315 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 3630 State Rd 26 E, Lafayette, IN 47905-4807 | 2007-01-16 |
| 1497811756 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 5717 Johnston St, Acadiana Mall, Lafayette, LA 70503-0503 | 2006-12-29 |
| 1497846232 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2415 Sagamore Pkwy, Tippecanoe Mall, Lafayette, IN 47905-5124 | 2006-09-27 |
| Find all providers in LAFAYETTE | ||||
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| 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.