Lafayette Vision Center

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LAFAYETTE VISION CENTER

Practice address

2300 Sagamore Pkwy S
Lafayette, IN 47905-5114

Phone

(765) 471-1515

NPI assigned

Jul 16, 2008

Organization subpart

No

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

Authorized official

Name

Terry Baker, OD

Title

Owner

Phone

(765) 471-1515

Specialties & licenses 1

Addresses

Tax ID family

Lafayette Vision Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lafayette Vision Center

  • Optometrist
  • Lafayette, IN
  • NPI 1275797979
  NPD tax ID

Locations

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114181328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SAGAMORE PKWY S",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SAGAMORE PKWY S",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055114",
            "telephone_number": "765-471-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-471-1515",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lafayette Regional Rehabilitation Hospital LLC
• Lafayette Retina Clinic PC
• Lafayette School Corporation
• Lafayette Surgery Center LLC
• Lafayette Vein and Vascular Center LLC
• Lafayette Vision Center
• Lafayette Westend Dental LLC
• Lafayette Womans Health
• Lafayette Womans Health
• Lafayette Womens Health

• Optometrist in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.