Provider Demographics
NPI:1558060640
Name:ROPE OPTOMETRY LLC
Entity Type:Organization
Organization Name:ROPE OPTOMETRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROPE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:812-345-6002
Mailing Address - Street 1:1615 O ST
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:IN
Mailing Address - Zip Code:47421-4116
Mailing Address - Country:US
Mailing Address - Phone:812-275-6155
Mailing Address - Fax:812-278-9405
Practice Address - Street 1:1615 O ST
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:IN
Practice Address - Zip Code:47421-4116
Practice Address - Country:US
Practice Address - Phone:812-275-6155
Practice Address - Fax:812-278-9405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1659501476Medicaid