Family Vision Clinic PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

18002062 Issued in IN

Legal business name

FAMILY VISION CLINIC PC

Practice address

202 N Main St
Culver, IN 46511-1516

Phone

(574) 842-3372

Fax

(574) 842-3390

NPI assigned

May 16, 2008

Last updated

Mar 25, 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. Mark Alan Couts, O.D.NPI 1831196377

Title

President

Phone

(574) 842-3372

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Mark Alan Couts, O.D.

  • Optometrist
  • Culver, IN
  • NPI 1831196377
  Authorized official Same address or phone

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1083871297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N MAIN ST",
            "city": "CULVER",
            "state": "IN",
            "postal_code": "465111516",
            "telephone_number": "574-842-3372",
            "fax_number": "574-842-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N MAIN ST",
            "city": "CULVER",
            "state": "IN",
            "postal_code": "465111516",
            "telephone_number": "574-842-3372",
            "fax_number": "574-842-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "COUTS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-842-3372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IN",
            "license": "18002062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100279120A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Day
• Michael F Deery, M.D.
• Dorrel Wellness LLC
• Jennifer Dorrel, DPT
• Gregory O Easterday, D.D.S.
• Adam Simpson Fischer, PT, DPT
• Ryan Spencer Fought, ATC
• Sandra Hadley
• Higher Standards LLC
• Fredrick Allen Hillis, M.D.

• Eyewear Supplier in Culver, IN
• Providers in Culver, IN by specialty
• Eyewear Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.