Vanarsdall Family Optometry P C

Primary specialty

OptometristTaxonomy code 152W00000X

License

56000172A Issued in IN

Legal business name

VANARSDALL FAMILY OPTOMETRY P C

Practice address

1033 Jackson St Ste C
Columbus, IN 47201-5769

Phone

(812) 376-3068

Fax

(812) 376-6771

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ken Lynn Vanarsdall, O.D.

Title

Owner / President

Phone

(812) 376-3068

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1376652933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 JACKSON ST STE C",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015769",
            "telephone_number": "812-376-3068",
            "fax_number": "812-376-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 JACKSON ST STE C",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015769",
            "telephone_number": "812-376-3068",
            "fax_number": "812-376-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANARSDALL FAMILY OPTOMETRY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "VANARSDALL",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "812-376-3068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "56000172A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100083400A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "22000000103899",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE REGISTRATION  NUM",
            "identifier": "56000172A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Urology Associates of Southern Indiana, P.C.
• US PT Therapy Services Inc.
• Bryce Utt, L.AC.
• Andrea Kay Valentine, DNP, CPNP, NP-C, RN
• Kealie Vanantwerp, RBT
• Kenneth L. Vanarsdall, O.D.
• Jennifer Vanattia, RBT
• Megan Marie Vanderbur, PA
• Sara E Vanderkolk, PA-C
• Jeff Vandeventer, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.