Active NPI
Valley Optical II Inc
- Optician
- Washington, IN
National Provider Identifier
1508962804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- VALLEY OPTICAL II INC
- Practice address
- 400 E National Hwy
Washington, IN 47501-0798 - Phone
- (812) 254-6594
- Fax
- (812) 254-4099
- NPI assigned
- Sep 15, 2006
- Last updated
- Nov 6, 2012
- 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
- Mr. Howard Dwaine Conard
- Title
- Owner
- Phone
- (812) 829-2291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | NU | Primary |
Addresses
Primary practice location
400 E National Hwy
Washington, IN 47501-0798
Mailing address
PO Box 798
400 E National Hwy
Washington, IN 47501-0798
Phone (812) 254-6594
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200046280A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930001908 | IN | DME Supplier - Physician - Optometrist | 7113045287 | Practice locations: Washington, IN |
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.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Valley Optical II Inc | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
400 E National Hwy
Washington, IN 47501
Phone (812) 254-1276
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Washington, IN
- NPI 1184605982
-
- Optometrist
- Washington, IN
- NPI 1033307210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352160000000",
"number": "1508962804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 798",
"address_2": "400 E NATIONAL HWY",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475010798",
"telephone_number": "812-254-6594",
"fax_number": "812-254-4099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E NATIONAL HWY",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475010798",
"telephone_number": "812-254-6594",
"fax_number": "812-254-4099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY OPTICAL II INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2012-11-06",
"status": "A",
"authorized_official_last_name": "CONARD",
"authorized_official_first_name": "HOWARD",
"authorized_official_middle_name": "DWAINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-829-2291",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200046280A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.