20/20 EYE PHYSICIANS OF INDIANA, PC (NPI# 1780789909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780789909 |
| Entity Type | Organization |
| Organization Name | 20/20 EYE PHYSICIANS OF INDIANA, PC |
| Other Organization Name | 20/20 PHYSICIANS OPTICAL |
| Practice Address |
4880 Century Plaza Rd Suite 140 Indianapolis IN 46254-5469 |
| Mailing Address |
2020 W 86th St Suite 200 Indianapolis IN 46260-1969 |
| Practice Telephone | 3173280901 |
| Practice Fax Number | 3173285038 |
| Mailing Telephone | 3178715900 |
| Mailing Fax Number | 3178726439 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2008-01-03 |
| Authorized Official Name | DR. J. MARK MICHAEL (PRESIDENT) |
| Authorized Official Telephone | 3178715900 |
| Authorized Official Credential | M.D, |
| Is Organization Subpart | Y |
| Parent Organization Name | 20/20 EYE PHYSICIANS OF INDIANA, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 0003928578 | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RAILROAD MEDICARE | CB2286 | 01 |
| Other Name | Type Code |
|---|---|
| 20/20 Physicians Optical | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538185673 | 20/20 Eye Physicians of Indiana, PC | Eyewear Supplier (Equipment, not the service) | 2020 W 86th St, Suite 200, Indianapolis, IN 46260-1969 | 2006-07-14 |
| Street Address |
4880 CENTURY PLAZA RD SUITE 140 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-5469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801849112 | Vipin Jain | Family Medicine | 4880 Century Plaza Rd, Suite 265, Indianapolis, IN 46254-5471 | 2006-05-18 |
| 1700349172 | Alison Kaye Paul | Social Worker | 4880 Century Plaza Rd, Indianapolis, IN 46254-5469 | 2019-04-11 |
| 1518348887 | Alyssa M Burkhart | Nurse Practitioner | 4880 Century Plaza Rd, Suite 265, Indianapolis, IN 46254-5469 | 2015-06-12 |
| 1922442458 | Catherine Andrea Moya Krumenacker | Family Medicine | 4880 Century Plaza Rd, Suite 265, Indianapolis, IN 46254-5469 | 2013-04-26 |
| 1366784266 | Peter Anthony Carey | Family Medicine | 4880 Century Plaza Rd, Suite 265, Indianapolis, IN 46254-5469 | 2013-03-19 |
| 1881955292 | Martin P Kane | Family Medicine | 4880 Century Plaza Rd, Ste 265, Indianapolis, IN 46254-5471 | 2012-06-01 |
| 1487804506 | Indiana University Health, Inc | Pharmacy | 4880 Century Plaza Rd, Suite 150, Indianapolis, IN 46254-5473 | 2008-09-25 |
| 1205919545 | Lawrence Degan | Family Medicine | 4880 Century Plaza Rd, Suite 200, Indianapolis, IN 46254-5469 | 2006-10-23 |
| 1679663157 | Dolly Rani | Internal Medicine | 4880 Century Plaza Rd, Ste 165, Indianapolis, IN 46254-5475 | 2006-10-13 |
| 1396835401 | Jennifer M Brown | Nurse Practitioner | 4880 Century Plaza Rd, Suite 145, Indianapolis, IN 46254-5472 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| 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 |
|---|---|---|---|---|
| 1730737610 | Net-works Solutions, LLC | Eyewear Supplier (Equipment, not the service) | 7114 Munsee Ln, Indianapolis, IN 46260-4069 | 2019-09-03 |
| 1801443742 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 49 W Maryland St Ste 179, Indianapolis, IN 46204-3543 | 2019-08-26 |
| 1659706448 | Dr Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 10777 E Washington St, Suite A, Indianapolis, IN 46229-2613 | 2013-09-11 |
| 1013275171 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 8752 Michigan Rd, Indianapolis, IN 46268-1123 | 2012-04-26 |
| 1619110087 | Castleton Eyecare Inc | Eyewear Supplier (Equipment, not the service) | 8137 Castleton Rd, Indianapolis, IN 46250-2035 | 2009-04-14 |
| 1043408610 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 9630 Washington Street, Indianapolis, IN 46229 | 2007-10-09 |
| 1346431640 | Essilor Laboratories of America, Inc. | Eyewear Supplier (Equipment, not the service) | 1718 Lafayette Rd, Indianapolis, IN 46222-2809 | 2007-08-05 |
| 1568673119 | Speedway Optical | Eyewear Supplier (Equipment, not the service) | 1602 Cunningham Dr, Indianapolis, IN 46224 | 2007-05-25 |
| 1669692190 | Northeast Optical | Eyewear Supplier (Equipment, not the service) | 2815 E 38th St, Indianapolis, IN 46218-1229 | 2007-04-26 |
| 1992835052 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 4616 W. 38th Street, Indianapolis, IN 46254 | 2007-03-07 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46254 |
Please comment or provide details below to improve the information on 20/20 EYE PHYSICIANS OF INDIANA, PC.
| 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.