Vision Care Associates PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

VISION CARE ASSOCIATES PC

Practice address

7750 W Jefferson Blvd
Fort Wayne, IN 46804-4174

Phone

(260) 459-9595

Fax

(260) 459-9494

NPI assigned

Oct 19, 2006

Last updated

Dec 6, 2011By 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

Susan L Eggebrecht, ODNPI 1700857281

Title

Optometrist Owner

Phone

(260) 459-9595

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Susan Lynn Eggebrecht, OD

  • Optometrist
  • Fort Wayne, IN
  • NPI 1700857281
  Authorized official Same address or phone

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1639250053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044174",
            "telephone_number": "260-459-9595",
            "fax_number": "260-459-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044174",
            "telephone_number": "260-459-9595",
            "fax_number": "260-459-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CARE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "EGGEBRECHT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "260-459-9595",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele L Vince, ATC, L
• Elizabeth Anne Vincent
• Vineyard Management LLC
• Elizabeth Elaine Vinson
• Tanvi Virnave
• Vision Care Associates PC
• Vision Counseling and Psychological Services, PC
• Visions Optical, P.C.
• Visiting Angel LLC
• Visiting Nurse and Hospice Home Inc (Stillwater Hospice)

• Eyewear Supplier in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Eyewear Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.