NPIMap

Organization Active NPI

Amedco Indiana LLC

Doing business as Wabash Valley Eye Center

  • Optometrist
  • Vincennes, IN
National Provider Identifier
1083037022
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AMEDCO INDIANA LLC
Doing business as
Wabash Valley Eye Center
Practice address
2020 S Clearview Dr
Vincennes, IN 47591-5576
Phone
(812) 882-9600
NPI assigned
Jan 28, 2014
Last updated
Jan 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Erica Perreira
Title
Chief Operating Officer
Phone
(877) 881-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2020 S Clearview Dr
Vincennes, IN 47591-5576

Mailing address

2020 S Clearview Dr
Vincennes, IN 47591-5576
Phone (812) 882-9600

Other names 1

  • Wabash Valley Eye Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amedco Indiana LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1083037022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S CLEARVIEW DR",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475915576",
            "telephone_number": "812-882-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S CLEARVIEW DR",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475915576",
            "telephone_number": "812-882-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDCO INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "PERREIRA",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "877-881-0022"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wabash Valley Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vincennes, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.