Organization Active NPI

Optometric Services, LLC

  • Optometrist
  • Evansville, IN
National Provider Identifier
1508005877
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003218 Issued in IN
Legal business name
OPTOMETRIC SERVICES, LLC
Practice address
111 S Red Bank Rd Ste a
Evansville, IN 47712-6509
Phone
(812) 423-4984
Fax
(812) 423-5029
NPI assigned
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Dr. Christine Marie Verbeck, O.D.NPI 1992777031
Title
President/Owner
Phone
(812) 423-4984

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18003218 IN Primary

Addresses

Primary practice location

111 S Red Bank Rd Ste a
Evansville, IN 47712-6509

Mailing address

111 S Red Bank Rd
Suite B
Evansville, IN 47712-6526
Phone (812) 423-4984

Other names 1

  • Harmony EyeCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090312000464 IN Part B Supplier - Clinic/Group Practice 0345306569 Receives reassigned benefits from 2 practitioners
Practice locations: Evansville, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2084760Harmony Eyecare111 S Red Bank Rd, Ste B, Evansville, IN 47712Certificate of waiverSep 29, 2026

National Provider Directory

National Provider Directory

Locations

111 S Red Bank Rd
Ste B
Evansville, IN 47712
Phone (812) 423-4984

111 S Red Bank Rd
Ste A
Evansville, IN 47712
Phone (812) 423-4984

Practitioners & affiliated clinicians

Practitioners 4

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": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1508005877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S RED BANK RD",
            "address_2": "SUITE B",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477126526",
            "telephone_number": "812-423-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S RED BANK RD STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477126509",
            "telephone_number": "812-423-4984",
            "fax_number": "812-423-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "VERBECK",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "812-423-4984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harmony EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.