Active NPI
Vision Service Corporation
- Optometrist
- Evansville, IN
National Provider Identifier
1003184490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
National Provider Directory
National Provider DirectoryLocations
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.