MEDICARE: CITY OPTICAL CO., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700875812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OPTICAL CO., INC.

Provider Business Mailing Address
First Line	:	2839 LAFAYETTE ROAD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46222-2147
Country	:	US
Telephone Number	:	317-924-1300
Fax Number	:	317-924-3741

Provider Business Practice Location Address
First Line	:	5541 S SCATTERFIELD RD
Second Line	:
City	:	ANDERSON
State	:	IN
Zip	:	46013-3140
Country	:	US
Telephone Number	:	765-644-3393
Fax Number	:	855-326-4293

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LARRY S TAVEL
Credential	:	MD
Telephone Number	:	317-924-1300

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	10/27/2021

Similar Medicare Providers

1184610933 — CUNNINGHAM OPTICAL CO INC
Practice Location Address:

5535 S SCATTERFIELD RD
ANDERSON, IN
46013-3140

Practice Phone: 765-644-7222
Practice Fax: 765-642-7608

1467713594 — JESSICA MICHELLE DAVIS OD
Practice Location Address:

5535 S SCATTERFIELD RD
ANDERSON, IN
46013-3140

Practice Phone: 765-642-7822
Practice Fax:

1215274626 — KREGG KOONS O.D., INC.
Practice Location Address:

5535 S SCATTERFIELD RD
ANDERSON, IN
46013-3140

Practice Phone: 765-642-7822
Practice Fax:

1588004550 — DR. JESSICA LEE LAMBERT MOORE O.D.
Practice Location Address:

5541 S SCATTERFIELD RD
ANDERSON, IN
46013-3140

Practice Phone: 765-748-0359
Practice Fax:

1982125134 — TILL EYECARE LLC
Practice Location Address:

5535 S SCATTERFIELD RD
ANDERSON, IN
46013-3140

Practice Phone: 260-385-9178
Practice Fax:

1194315440 — JENNIFER JEAN HOWIE
Practice Location Address:

3125 S SCATTERFIELD RD STE 300
ANDERSON, IN
46013-1803

Practice Phone: 765-298-4630
Practice Fax: 765-298-4901

Directions to “CITY OPTICAL CO., INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.