20/20 EYE PHYSICIANS OF INDIANA, PC (NPI# 1538185673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538185673 |
| Entity Type | Organization |
| Organization Name | 20/20 EYE PHYSICIANS OF INDIANA, PC |
| Other Organization Name | 20/20 PHYSICIANS OPTICAL |
| Practice Address |
2020 W 86th St Suite 200 Indianapolis IN 46260-1969 |
| Practice Telephone | 3178715900 |
| Practice Fax Number | 3178726439 |
| Mailing Telephone | 3178715900 |
| Mailing Fax Number | 3178726439 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-12-14 |
| Authorized Official Name | DR. J. MARK MICHAEL (PRESIDENT) |
| Authorized Official Telephone | 3178715900 |
| Authorized Official Credential | MD |
| 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) | 9900001987283 | 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 |
|---|---|---|---|---|
| 1780789909 | 20/20 Eye Physicians of Indiana, PC | Eyewear Supplier (Equipment, not the service) | 4880 Century Plaza Rd, Suite 140, Indianapolis, IN 46254-5469 | 2006-09-13 |
| Street Address |
2020 W 86TH ST SUITE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-1969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972507879 | Bennett Benito Desadier | Specialist | 2020 W 86th St, Ste 305, Indianapolis, IN 46260-1931 | 2005-06-08 |
| 1124467360 | Danielle A Payne | Optometrist | 2020 W 86th St, Indianapolis, IN 46260-1969 | 2013-06-20 |
| 1962732560 | Barrett Eye Care Indianapolis LLC | Ophthalmology | 2020 W 86th St, Suite 104, Indianapolis, IN 46260-1969 | 2010-01-04 |
| 1104002815 | Dr Elliott Yolles Psc | Ophthalmology | 2020 W 86th St, Suite 104, Indianapolis, IN 46260-1931 | 2008-01-11 |
| 1497956031 | William Harley Cook | Social Worker | 2020 W 86th St, Suite 301, Indianapolis, IN 46260-1969 | 2007-05-30 |
| 1609932870 | Cynthia B Desadier | Counselor | 2020 W 86th St, Suite 305, Indianapolis, IN 46260-1969 | 2006-12-29 |
| 1801982129 | Donald L Cline | Obstetrics & Gynecology | 2020 W 86th St, Suite 310, Indianapolis, IN 46260-1969 | 2006-10-05 |
| 1982790226 | Reproductive Endocrinology Associates | Obstetrics & Gynecology | 2020 W 86th St, Suite 310, Indianapolis, IN 46260-1969 | 2006-10-05 |
| 1528175379 | Moriarity /allen, Psc | Obstetrics & Gynecology | 2020 W 86th St, Suite #306, Indianapolis, IN 46260-1969 | 2006-08-25 |
| 1497736631 | Comprehensive Obgyn Inc | Obstetrics & Gynecology | 2020 W 86th St, Suite 305, Indianapolis, IN 46260-1969 | 2005-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| 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 | 46260 |
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.