Entyre Vision Care, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4949 Issued in OH

Legal business name

ENTYRE VISION CARE, INC.

Practice address

410 N Hyatt St
Tipp City, OH 45371-1434

Phone

(937) 667-6914

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Pamela J Locke, ODNPI 1093718330

Title

President

Phone

(937) 294-6435

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela J. Locke, O.D.

  • Optometrist
  • Tipp City, OH
  • NPI 1093718330
  Medicare reassignment Authorized official
• David A Koch, O.D.

  • Optometrist
  • Tipp City, OH
  • NPI 1649204058
  NPD
• Renee S Rambeau, O.D.

  • Optometrist
  • Troy, OH
  • NPI 1093070401
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1194865451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N HYATT ST",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453711434",
            "telephone_number": "937-294-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N HYATT ST",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453711434",
            "telephone_number": "937-667-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTYRE VISION CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-294-6435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Eidemiller, LMT
• Angela Jolene Eikenbery, LSW
• Logan Laine Elam-Crosley, ND, AEMT
• Erin Beth Engel, DPM
• Sueann England
• Far Oaks Orthopedists
• Lindsy Fisher, LPCC
• Kathryn Sue Fogt, LPN
• Forever Home Care LLC
• Jodi L Foster

• Optometrist in Tipp City, OH
• Providers in Tipp City, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.