Organization Active NPI

Vision Service Corporation

  • Optometrist
  • Evansville, IN
National Provider Identifier
1003184490
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION SERVICE CORPORATION
Practice address
6614 Logan Dr
Evansville, IN 47715-8236
Phone
(812) 477-6700
NPI assigned
Dec 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Ann Short
Title
Controller
Phone
(812) 475-0035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

6614 Logan Dr
Evansville, IN 47715-8236

Mailing address

4810 Tecumseh LN
Evansville, IN 47715-3220
Phone (812) 475-0035

Other names 1

  • Eye Mart Doing business as

National Provider Directory

National Provider Directory

Locations

6614 Logan Dr
Evansville, IN 47715
Phone (812) 477-6700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1003184490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 TECUMSEH LN",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477153220",
            "telephone_number": "812-475-0035",
            "fax_number": "812-477-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6614 LOGAN DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477158236",
            "telephone_number": "812-477-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "812-475-0035"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.