Organization Active NPI

Vincennes Ocular Centre, Inc.

  • Eyewear Supplier
  • Vincennes, IN
National Provider Identifier
1497879712
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
VINCENNES OCULAR CENTRE, INC.
Practice address
414 Main St
Vincennes, IN 47591-2020
Phone
(812) 886-4411
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Dr. Brad A Keller, OD
Title
President
Phone
(812) 886-4411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

414 Main St
Vincennes, IN 47591-2020

Mailing address

414 Main St
Vincennes, IN 47591-2020
Phone (812) 886-4411

National Provider Directory

National Provider Directory

Locations

414 Main St
Vincennes, IN 47591
Phone (812) 886-4411

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1497879712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 MAIN ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475912020",
            "telephone_number": "812-886-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 MAIN ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475912020",
            "telephone_number": "812-886-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENNES OCULAR CENTRE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-886-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.