Vandalia Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4638 Issued in OH

Legal business name

VANDALIA OPTOMETRY LLC

Practice address

33 Elva CT
Vandalia, OH 45377-1828

Phone

(937) 898-3641

Fax

(937) 898-4322

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Angela E Davis, O.D.NPI 1326075953

Title

Owner/Optometrist

Phone

(937) 898-3641

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Locations

Practitioners 4

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

• Angela E Davis, O.D.

  • Optometrist
  • Vandalia, OH
  • NPI 1326075953
  Medicare reassignment Care Compare group NPD Authorized official
• Jeffrey A Davisson, O.D.

  • Optometrist
  • Vandalia, OH
  • NPI 1316974942
  Medicare reassignment Care Compare group NPD
• John Andrew Fleishman, M.D.

  • Ophthalmology Physician
  • Dayton, OH
  • NPI 1871558510
  NPD (past)
• Karla R Larger, O.D.

  • Optometrist
  • New Bremen, OH
  • NPI 1750326237
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1285679761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ELVA CT",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771828",
            "telephone_number": "937-898-3641",
            "fax_number": "937-898-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ELVA CT",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771828",
            "telephone_number": "937-898-3641",
            "fax_number": "937-898-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDALIA OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "937-898-3641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VO2509379",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Updike
• Carla R Urbanas, MS,LPCC,LICDC
• Usd Dayton, Inc. (Dayton Medical Imaging Vandalia)
• Vandalia Butler City Schools
• Vandalia Dental Center, Wayne K. Wright, DDS, Inc.
• Vandalia Rehab LLC (Momentous Health at Vandalia)
• Vandalia Smile Center LLC
• Teresa Vanhoose, MSN, APRN, FNP-BC
• Christi Vann
• Viaquest Home Health, LLC (ViaQuest Home Care)

• Optometrist in Vandalia, OH
• Providers in Vandalia, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.