Provider Demographics
NPI:1891985347
Name:THE EYE PLACE INC.
Entity Type:Organization
Organization Name:THE EYE PLACE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:ALMARALES
Authorized Official - Suffix:
Authorized Official - Credentials:OPTOMETRIST (OD)
Authorized Official - Phone:812-379-9893
Mailing Address - Street 1:2665 FOXPOINTE DRIVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203
Mailing Address - Country:US
Mailing Address - Phone:812-379-9893
Mailing Address - Fax:812-379-9904
Practice Address - Street 1:1130 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-5720
Practice Address - Country:US
Practice Address - Phone:812-379-9893
Practice Address - Fax:812-379-9904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-31
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18001592B152W00000X
IN18003363B152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200527530Medicaid
IN200527530Medicaid
IN25390Medicare PIN