EYE ASSOCIATES OF SOUTHERN INDIANA PC
NPI 1033383872
Optometrist in Scottsburg, IN

Active since April 14, 2008CLIA Certified · 8 labs
1356 N GARDNER ST, SCOTTSBURG, IN 47170(812) 752-2020 Get Directions Write a Review

NPPES record last updated: March 9, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eye Associates Of Southern Indiana Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYE ASSOCIATES OF SOUTHERN INDIANA PC (NPI 1033383872) is a healthcare organization registered as an optometrist in Scottsburg, Indiana and active in the NPI registry since April 2008. The organization holds 8 active CLIA laboratory certificates and lists Ronda Boman, Insurance Director, as its authorized official.

NPPES Registry Identity

NPI1033383872
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEYE ASSOCIATES OF SOUTHERN INDIANA PC
Location Address1356 N GARDNER STScottsburg, IN 47170-7750
Mailing Address302 W 14th St, Suite 100aJeffersonville, IN 47130-3751 · (812) 284-0660
Organization SubpartNo
Authorized OfficialRonda BomanInsurance Director · (812) 590-6157
Enumeration DateApril 14, 2008
Last NPPES UpdateMarch 9, 2016
NPI 1033383872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in IN · 18001510 Licensed in IN · 18001655 Licensed in IN · 18001637
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1356 N GARDNER ST, Scottsburg, IN 47170

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 8

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2074788

Eye Associates Of S Ind PC · Jeffersonville, IN
Active · expires Mar 16, 2028
CLIA Number15D2074788
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorBradley C. Black
Laboratory Phone(812) 284-0660
Laboratory LocationEye Associates Of S Ind PC302 W 14th St, Ste 100A, Jeffersonville, IN 47130
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2122069

Eye Associates Of S Ind PC · Scottsburg, IN
Active · expires Nov 17, 2026
CLIA Number15D2122069
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorBradley C. Black
Laboratory Phone(812) 284-0660
Laboratory LocationEye Associates Of S Ind PC1356 N Gardner St, Scottsburg, IN 47170
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2095882

Eye Associates Of Southern In, PC · Louisville, KY
Active · expires May 12, 2027
CLIA Number18D2095882
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2025
Certificate Expiration DateMay 12, 2027
Laboratory DirectorDr. Bradley Black
Laboratory Phone(812) 284-0660
Laboratory LocationEye Associates Of Southern In, PC1102 Lyndon Lane Ste A, Louisville, KY 40222
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2080476

Eye Associates Of S Ind PC · Salem, IN
Active · expires Jul 7, 2028
CLIA Number15D2080476
Laboratory TypePhysician Office
Certificate Effective DateJuly 8, 2026
Certificate Expiration DateJuly 7, 2028
Laboratory DirectorBradley C. Black
Laboratory Phone(812) 284-0660
Laboratory LocationEye Associates Of S Ind PC1350 S Jackson St, Salem, IN 47167
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2073803

Eye Associates Of S Ind PC · New Albany, IN
Active · expires Feb 24, 2028
CLIA Number15D2073803
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2026
Certificate Expiration DateFebruary 24, 2028
Laboratory DirectorBradley C. Black
Laboratory Phone(812) 284-0660
Laboratory LocationEye Associates Of S Ind PC1919 State St, Ste 140, New Albany, IN 47150
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2095828

Eye Associates Of S In, PC · Corydon, IN
Active · expires May 11, 2027
CLIA Number15D2095828
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorKristopher R. Pugh
Laboratory Phone(812) 284-0660
Laboratory LocationEye Associates Of S In, PC849 Pacer Drive NW, Corydon, IN 47112
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Eye Associates Of Southern Indiana carries, from the Medicare DMEPOS supplier directory.

Eye Associates Of Southern Indiana

DMEPOS supplier · Scottsburg, INOperated by Eye Associates Of Southern Indiana PC

Accepts Medicare assignment

Eye Associates Of Southern Indiana agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)23282809
Medicare Participant SinceSeptember 19, 1996
Supplier Location1220 W Mcclain AveScottsburg, IN 47170
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eye Associates Of Southern Indiana PC's NPI number?

The NPI number for Eye Associates Of Southern Indiana PC is 1033383872. It was assigned to this organization in the NPPES registry on April 14, 2008.

Where is Eye Associates Of Southern Indiana PC located?

Eye Associates Of Southern Indiana PC is located at 1356 N Gardner St, Scottsburg, IN 47170. The listed phone number is (812) 752-2020.

What is Eye Associates Of Southern Indiana PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Eye Associates Of Southern Indiana PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Eye Associates Of Southern Indiana accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Eye Associates Of Southern Indiana PC hold CLIA laboratory certificates?

Yes. 8 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Eye Associates Of Southern Indiana PC was last updated on March 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.