Anderson Eye Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003351A Issued in IN

Legal business name

ANDERSON EYE CARE PC

Doing business as

ClearVue EyeCare

Practice address

9270 Wicker Ave
Suite a
St. John, IN 46373

Phone

(219) 365-1227

NPI assigned

Apr 20, 2011

Last updated

Apr 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Valerie Anderson, O.D.NPI 1154489177

Title

Optometrist/Owner

Phone

(219) 613-0033

Specialties & licenses 1

Addresses

Other names 1

• ClearVue EyeCare Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Valerie Renee Anderson, O.D.

  • Optometrist
  • Saint John, IN
  • NPI 1154489177
  Medicare reassignment NPD Authorized official
• Ryan Christensen, M.D.

  • Emergency Medicine Physician
  • Colorado Springs, CO
  • NPI 1104117019
  NPD (past)

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1073804449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9270 WICKER AVE",
            "address_2": "SUITE A",
            "city": "ST. JOHN",
            "state": "IN",
            "postal_code": "46373",
            "telephone_number": "219-365-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9270 WICKER AVE",
            "address_2": "SUITE A",
            "city": "ST. JOHN",
            "state": "IN",
            "postal_code": "46373",
            "telephone_number": "219-365-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "219-613-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003351A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ClearVue EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oludare Ajayi
• Oluwaseyi Ajayi, DNP FNP-BC
• David A. Albright, D.D.S., M.S.D.
• American Partners LP (Osco Drug #4799)
• Amore Home Health Care Services, Inc.
• Valerie Renee Anderson, O.D.
• Thomas Michael Anger, MD
• Samuel John Arzumanian, RPH
• Sarah Ashcraft
• Athletico LTD (Athleico Physical Therapy)

• Optometrist in Saint John, IN
• Providers in Saint John, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.