INDIANA UNIVERSITY


Address: 200 W 103rd St, Suite 2250b, Indianapolis, IN 46290-1092
Phone: 3172785975

INDIANA UNIVERSITY (NPI# 1205879566) 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) 1205879566
Entity Type Organization
Organization Name INDIANA UNIVERSITY
Other Organization Name IU EYE AT CARMEL
Practice Address 200 W 103rd St
Suite 2250b
Indianapolis
IN 46290-1092
Practice Telephone 3172785975
Practice Fax Number 3172785976
Mailing Telephone 3172785975
Mailing Fax Number 3172785976
Enumeration Date 2006-06-14
Last Update Date 2009-03-05
Authorized Official Name THERESA SEELEY (CREDENTIALING MANAGER)
Authorized Official Telephone 8128567500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200471120A 05
IN ANTHEM 000000320818 01

Other Provider/Organization Names

Other Name Type Code
IU Eye at Carmel Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1972915817 Indiana University General Acute Care Hospital 19100 Crest Ave, Apt 88, Castro Valley, CA 94546-8661 2014-05-27
1497799787 Indiana University Optometrist 501 Indiana Ave, Suite 100, Indianapolis, IN 46202-3293 2006-06-16
1780022277 Indiana University General Acute Care Hospital 1701 N. Senate Blvd., Ag012, Indiana University Som., Indianapolis, IN 46202 2013-06-06
1912252594 Indiana University Internal Medicine 1001 W 10th St # M200, Indianapolis, IN 46202-2859 2012-07-19
1366706194 Indiana University General Acute Care Hospital 1001 W 10th St # M200, Wishard Hospital, Indianapolis, IN 46202-2859 2012-06-26
1932493566 Indiana University Psychiatric Hospital 1120 South Dr, Fesler Hall, Room 224, Indianapolis, IN 46202-5135 2011-05-31
1265690085 Indiana University General Acute Care Hospital 545 Barnhill Dr, Eh 202, Indianapolis, IN 46202-5112 2008-05-29
1508069972 Indiana University Clinic/Center 2700 South Lafayette Street, Fort Wayne, IN 46806 2007-06-06
1639392848 Indiana University Optometrist 501 Indiana Ave, Indianapolis, IN 46202-3293 2007-04-10
1689790552 Indiana University Dentist 1121 W. Michigan Street, Ds 307b, Indianapolis, IN 46202-5186 2007-03-22

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities INDIANA UNIVERSITY 107 S Indiana Avenue, Bloomington, IN 47405-7000
System for Award Management (SAM) Entities INDIANA UNIVERSITY BLOOMINGTON 530 E Kirkwood Ave Ste L03, Bloomington, IN 47408-4003
System for Award Management (SAM) Entities INDIANA UNIVERSITY EAST 2325 Chester Blvd, Richmond, IN 47374-1220
Oklahoma Business Registrations INDIANA UNIVERSITY FOUNDATION, INC. Po Box 500, Bloomington, IN 47402
Indiana Business Entities INDIANA UNIVERSITY HEALTH ARNETT, INC. 1759 S. 500 East, P.o. Box 5545, Lafayette, IN 47903
Indiana Business Entities INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL, INC. 2401 West University Ave, Muncie, IN 47303
System for Award Management (SAM) Entities INDIANA UNIVERSITY HEALTH BEDFORD, INC. 2900 W 16th St, Bedford, IN 47421-3510
Indiana Business Entities INDIANA UNIVERSITY HEALTH BLACKFORD HOSPITAL, INC. 410 Pilgrim Blvd., Hartford City, IN 47348
System for Award Management (SAM) Entities INDIANA UNIVERSITY HEALTH BLOOMINGTON, INC. 601 W 2nd St, Bloomington, IN 47403-2317
Colorado Business Entities Indiana University Health Care Associates, Inc. 340 West 10th Street, Fs5100, Indianapolis, IN 46202

Office Location

Street Address 200 W 103RD ST
SUITE 2250B
City INDIANAPOLIS
State IN
Zip Code 46290-1092

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770585838 Thomas Anthony Ciulla Ophthalmology 200 W 103rd St, Suite 1050, Indianapolis, IN 46290-1017 2005-06-02
1649552902 Indiana University Eye Care, Inc. Ophthalmology 200 W 103rd St, Suite 2250, Indianapolis, IN 46290-1007 2011-09-13
1851686968 Midwest Eye Retina PC Ophthalmology 200 W 103rd St, Suite 1060, Indianapolis, IN 46290-1007 2011-06-16
1962632158 Svs Ophthalmology, LLC Ophthalmology 200 W 103rd St, Suite 1000, Indianapolis, IN 46290-1092 2009-07-22
1609052679 Beltway Surgery Centers, LLC Clinic/Center 200 W 103rd St, Indianapolis, IN 46290-1092 2008-01-21
1528266517 Stephen M Johnson Md PC Ophthalmology 200 W 103rd St, Ste 1000, Indianapolis, IN 46290-1092 2007-07-11
1710014105 Thomas A. Ciulla, Md,pc Ophthalmology 200 W 103rd St, Suite 1050, Indianapolis, IN 46290-1007 2007-02-27
1164537411 Spring Mill Surgery Center, LLC Clinic/Center 200 W 103rd St, Indianapolis, IN 46290-1092 2006-08-20
1285698084 Erin V Newton Internal Medicine 200 W 103rd St, Indianapolis, IN 46290-1092 2006-04-17
1356325187 Robert Meneghini Orthopaedic Surgery 200 W 103rd St, Ste 1400, Indianapolis, IN 46290-1018 2005-12-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821548777 American Behavioral Counseling Social Worker 10386 Spring Highland Dr, Indianapolis, IN 46290 2016-10-04
1518042431 James Lamar Jones Psychologist 8555 Cedar Place, Suite 113a, Indianapolis, IN 46290 2006-10-26
1437245917 Bradley Scott Gunter Physical Therapy Assistant 10601 N. Meridian St., Suite 110, Indianapolis, IN 46290 2006-10-04
1790261576 Kristiana Michelle Sannella Physician Assistant 10590 N Meridian St # 105, Indianapolis, IN 46290 2018-07-16
1023534815 Mitchell James Vansumeren Psychologist 10291 N Meridian St Ste 310, Indianapolis, IN 46290 2017-08-14
1801281670 Elizabeth Tibbs Physician Assistant 10590 N Meridian St Ste 105, Indianapolis, IN 46290 2015-03-30
1447510722 Bradley A Clark Internal Medicine 10590 N Meridian St, Indianapolis, IN 46290 2012-05-21
1528333861 Edward Mark Shmukler Internal Medicine 10590 N Meridian St, Indianapolis, IN 46290 2012-03-20
1386938272 Bryce S Lynn Internal Medicine 10590 N Meridian St, Indianapolis, IN 46290 2011-06-08
1063610301 Babar Sultan Otolaryngology 170 W 106th St, Meridian Plastic Surgery, Indianapolis, IN 46290 2007-07-09
Find all providers in zip 46290

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
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

Competitor

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City INDIANAPOLIS
Zip Code 46290

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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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