Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1063097533
Myeyedr Optometry Of Indiana, Llc
Organization Subpart: NO
Active
NPI Number1063097533
NPI TypeNPI-2 Organization
SpecialtyOptometrist
Provider Details
NPI1063097533
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2021-03-16
Last Updated2023-08-10
Authorized OfficialSue Downes
Secretary
Phone: 7038478899
Mailing Address8614 Westwood Center Dr Fl 9
Vienna, VA 22182-2442
United States
Phone: (703) 847-8899 | Fax: (571) 223-6780
📍 View Map
Primary Practice Address1400 N Wayne St Ste F
Angola, IN 46703-2359
United States
Phone: (260) 668-8881 | Fax: (260) 665-6498
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes152W00000X – Optometrist--
Export Provider Record NPI 1063097533
Search for More Providers
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →

About NPI 1063097533

Myeyedr Optometry Of Indiana, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1063097533. The primary specialty listed is Optometrist. The organization is located in Angola, IN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-03-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063097533?

NPI 1063097533 belongs to Myeyedr Optometry Of Indiana, Llc, a Optometrist in Angola, IN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063097533 active?

The current status of NPI 1063097533 in the NPPES registry is Active. The record was last updated on 2023-08-10.

What specialty is NPI 1063097533?

NPI 1063097533 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063097533?

You can verify NPI 1063097533 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063097533?

The primary practice address on file for NPI 1063097533 is 1400 N Wayne St Ste F, Angola, IN 46703-2359. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063097533 issued?

NPI 1063097533 was first issued (enumerated) on 2021-03-16. The NPPES record was last updated on 2023-08-10.

Practice Location Map

Myeyedr Optometry Of Indiana, Llc is located at 1400 N Wayne St Ste F, Angola, IN. Use the map below to find directions or verify the practice location.

📍 1400 N Wayne St Ste F, Angola, IN 46703-2359  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Myeyedr Optometry Of Indiana, Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-31 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162