NORTHEAST OPTICAL (NPI# 1669692190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669692190 |
| Entity Type | Organization |
| Organization Name | NORTHEAST OPTICAL |
| Other Organization Name | LINDA FUNDENBERGER MD |
| Practice Address |
2815 E 38th St Indianapolis IN 46218-1229 |
| Practice Telephone | 3175475525 |
| Practice Fax Number | 3175430948 |
| Mailing Telephone | 3175475525 |
| Mailing Fax Number | 3175430948 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2013-06-21 |
| Authorized Official Name | DR. LINDA FUNDENBERGER (OWNER) |
| Authorized Official Telephone | 3175475525 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | 01036129A | IN | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 01036129A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100176610A | 05 |
| Other Name | Type Code |
|---|---|
| Linda Fundenberger MD | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | NORTHEAST OPTICAL ASSOCIATES, INC. | Thomas Konoski, 120 Arcadia Avenue, Stratford, CT 06497 |
| Connecticut Business Registrations | NORTHEAST OPTICAL COMPANY, INC. | 4 Northeast Ave, Bow, NH 03301 |
| Street Address |
2815 E 38TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46218-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710372685 | Lf Eyes LLC | Ophthalmology | 2815 E 38th St, Indianapolis, IN 46218-1229 | 2015-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487208930 | Darryl K Webster | Counselor | 4901 E. 31st Street, Indianapolis, IN 46218 | 2019-08-01 |
| 1780238238 | Rhonda Y. Battles | Counselor | 1775 N Sherman Dr Suite A, Indianapolis, IN 46218 | 2019-08-01 |
| 1861918849 | Corey Simmons | Ambulance | 3659 N Temple Ave, Indianapolis, IN 46218 | 2017-08-21 |
| 1245769645 | Community Health Network, Inc | Clinic/Center | 1640 N. Ritter Avenue, Indianapolis, IN 46218 | 2017-06-08 |
| 1912221615 | Melvin Lowell Stringer Jr. | Driver | 3266 N. Arsenal Ave, Indianapolis, IN 46218 | 2010-03-24 |
| 1952523854 | Allyson Leigh Mcintire | Counselor | 5502 E 16 Th Street, Indpls, IN 46218 | 2007-05-02 |
| 1104912963 | Andrea Sue Campbell | Social Worker | 5502 E 16th Street, Indpls, IN 46218 | 2006-10-05 |
| 1720186356 | Abbie Ann Grudzien | Counselor | 4701 N Keystone, Ste 150, Indpls, IN 46218 | 2006-09-20 |
| 1508978784 | Linda A Fundenberger | Ophthalmology | 2815 E 38th Street, Indianapolis, IN 46218 | 2006-08-31 |
| 1063467850 | Aaron P Kalinowski | Emergency Medicine | 2920 N Arlington Ave Ste B, Indianapolis, IN 46218 | 2006-05-23 |
| Find all providers in zip 46218 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081525 | After Action Medical and Dental Supply, LLC | Durable Medical Equipment & Medical Supplies | 4444 Decatur Blvd., Suite 100, Indianapolis, IN 46241 | 2020-10-22 |
| 1427676634 | Undranita Gilbert | Durable Medical Equipment & Medical Supplies | 12077 Stern Dr, Indianapolis, IN 46256-9442 | 2020-07-14 |
| 1710503693 | Diabetic Equipment and Supplies LLC | Durable Medical Equipment & Medical Supplies | 3905 Vincennes Rd Ste 405, Indianapolis, IN 46268-3026 | 2020-06-17 |
| 1649890849 | Defy Therapeutics LLC | Durable Medical Equipment & Medical Supplies | 6330 East 75th Street, Suite 218, Indianapolis, IN 46250-2700 | 2020-04-17 |
| 1558997049 | At Home Health Equipment LLC | Durable Medical Equipment & Medical Supplies | 7930 S Emerson Ave Ste 3, Indianapolis, IN 46237-8626 | 2020-03-17 |
| 1528693611 | Ally Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 9247 N Meridian St Ste 106, Indianapolis, IN 46260-1879 | 2020-03-09 |
| 1831720788 | Good for You Enterprises LLC | Durable Medical Equipment & Medical Supplies | 451 Wellington Road, Indianapolis, IN 46260-4619 | 2020-01-30 |
| 1144865338 | Medco Respiratory Instruments, Inc | Durable Medical Equipment & Medical Supplies | 3125 Dandy Trl Ste 216, Indianapolis, IN 46214-1460 | 2019-11-12 |
| 1447802251 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 336 S Delaware St, Indianapolis, IN 46204-3701 | 2019-07-11 |
| 1518426204 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5756 W 74th Street, Bldg 112, Indianapolis, IN 46278-1755 | 2019-03-13 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46218 |
Please comment or provide details below to improve the information on NORTHEAST OPTICAL.
| 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.