DR. JACQUELYN H PATTERSON (NPI# 1912087909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912087909 |
| Entity Type | Individual |
| Full Name | DR. JACQUELYN H PATTERSON |
| Credential | O.D. |
| Practice Address |
2320 S Tibbs Ave Indianapolis IN 46241-4801 |
| Mailing Address |
103 Rohn Rd Mooresville IN 46158-8073 |
| Practice Telephone | 3172412019 |
| Practice Fax Number | 3174872182 |
| Mailing Telephone | 3178318480 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2012-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18001954A | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200970100 | 05 | |
| IN | CONTROLLED SUBSTANCE CERTIFICATE | 18001954B | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932652831 | Jacquelyn Ann Patterson | Home Health Aide | 690 E Patriot Blvd Apt 257, Reno, NV 89511 | 2016-07-27 |
| 1760773816 | Jacquelyn Knupp Patterson | Student in an Organized Health Care Education/Training Program | 247 Macnider, Pediatrics Education Office Unc School of Medicine, Chapel Hill, NC 27514 | 2011-04-25 |
| Street Address |
2320 S TIBBS AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46241-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134209646 | Norman Jay Hittinger Jr. | Optometrist | 2320 S Tibbs Ave, Indianapolis, IN 46241-4801 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062511 | Indy Medical Trans LLC | Non-emergency Medical Transport (VAN) | 4948 W Washington St, Indianapolis, IN 46241 | 2020-10-29 |
| 1760081525 | After Action Medical and Dental Supply, LLC | Durable Medical Equipment & Medical Supplies | 4444 Decatur Blvd., Suite 100, Indianapolis, IN 46241 | 2020-10-22 |
| 1659841880 | Dependency Medical Holdings Corporation | Family Medicine | 5600 W Bradbury Ave, Indianapolis, IN 46241 | 2018-11-30 |
| 1255872073 | Phoenix Family and Community Services, LLC | Case Management | 2346 S. Lynhurst Dr. Suite 601, Indianapolis, IN 46241 | 2017-03-13 |
| 1811022114 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 6920 Gatwick Drive, Suite 100, Indianapolis, IN 46241 | 2007-02-23 |
| 1912073107 | Kathryn Charlotte Gregor | Occupational Therapy Assistant | 5603 W Raymond St, Indianapolis, IN 46241 | 2006-11-28 |
| 1184790347 | Sandee Jo Schultheis | Physical Therapy Assistant | 5603 West Raymond St, Suite A, Indianapolis, IN 46241 | 2006-11-28 |
| 1346899077 | Lori Heusel | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-09-05 |
| 1720632227 | Nicole Anne Murphy | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-08-01 |
| 1073173209 | Kaylee Posson | Social Worker | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-06-19 |
| Find all providers in zip 46241 | ||||
| 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 | 46241 |
Please comment or provide details below to improve the information on DR. JACQUELYN H PATTERSON.
| 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.