Judson Family Vision Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JUDSON FAMILY VISION CARE, LLC

Practice address

643 Ohio St
Terre Haute, IN 47807-3525

Phone

(812) 232-1000

Fax

(812) 232-1007

NPI assigned

Jan 25, 2018

Organization subpart

No

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

Authorized official

Name

Amanda Elaine Judson, ODNPI 1255367686

Title

President

Phone

(812) 232-1000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

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

• Amanda Elaine Judson, O.D., M.S., FCOVD

  • Optometrist
  • Terre Haute, IN
  • NPI 1255367686
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1346748225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 OHIO ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073525",
            "telephone_number": "812-232-1000",
            "fax_number": "812-232-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 OHIO ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073525",
            "telephone_number": "812-232-1000",
            "fax_number": "812-232-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDSON FAMILY VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "JUDSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-232-1000",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jr Pharmacy LLC 2
• Jr Pharmacy Poplar LLC
• Jr Pharmacy Poplar LLC
• Jr Scripts Pharmacy No 1 LLC
• Jr Scripts Pharmacy No 1 LLC
• Amanda Elaine Judson, O.D., M.S., FCOVD
• Allison Lee Judy, ATC
• Jeffrey A Jungers, M.D.
• Laura Juzeszyn, ATC
• Neil G Kabous, MD

• Optometrist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.