Image Eye Care P C

Primary specialty

OptometristTaxonomy code 152W00000X

License

56000412A Issued in IN

Legal business name

IMAGE EYE CARE P C

Practice address

5600 E Virginia St Ste a
Evansville, IN 47715-2657

Phone

(812) 477-6243

Fax

(812) 303-6022

NPI assigned

Jul 19, 2011

Last updated

Sep 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Emily K Ryan, OD

Title

Owner

Phone

(812) 477-6243

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1396033726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 E VIRGINIA ST STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152657",
            "telephone_number": "812-477-6243",
            "fax_number": "812-303-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 E VIRGINIA ST STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152657",
            "telephone_number": "812-477-6243",
            "fax_number": "812-303-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE EYE CARE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-477-6243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "56000412A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.