Active NPI
The Vision Care Center, LLC
- Optometrist
- Evansville, IN
National Provider Identifier
1356580245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- THE VISION CARE CENTER, LLC
- Practice address
- 421 Chestnut St
Evansville, IN 47713-1227 - Phone
- (812) 490-3937
- Fax
- (812) 426-9880
- NPI assigned
- Feb 17, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew W Tharp, MD
- Title
- President
- Phone
- (812) 490-3937
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Ophthalmology Physician | 207W00000X |
Addresses
Primary practice location
421 Chestnut St
Evansville, IN 47713-1227
Mailing address
PO Box 3873
Evansville, IN 47737-3873
Phone (800) 467-2392
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200912620 | Medicaid | IN | |
| 7100160580 | Other | KY | KY MEDICAID OD GROUP |
| 7100139090 | Other | KY | KY MEDICAID MD GROUP |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2064452 | Vision Care Center, the | Certificate of waiver | Aug 19, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359417600000",
"number": "1356580245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3873",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477373873",
"telephone_number": "800-467-2392",
"fax_number": "812-471-6650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 CHESTNUT ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131227",
"telephone_number": "812-490-3937",
"fax_number": "812-426-9880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE VISION CARE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-17",
"last_updated": "2013-01-29",
"status": "A",
"authorized_official_last_name": "THARP",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-490-3937",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200912620",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY MEDICAID OD GROUP",
"identifier": "7100160580",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY MEDICAID MD GROUP",
"identifier": "7100139090",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.