Active NPI
Vision Care Associates PC
- Eyewear Supplier
- Fort Wayne, IN
National Provider Identifier
1639250053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- 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
- 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
- Susan L Eggebrecht, OD
- Title
- Optometrist Owner
- Phone
- (260) 459-9595
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | |||
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
7750 W Jefferson Blvd
Fort Wayne, IN 46804-4174
Mailing address
7750 W Jefferson Blvd
Fort Wayne, IN 46804-4174
Phone (260) 459-9595
National Provider Directory
National Provider DirectoryNPI Registry JSON
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": []
}
Other providers in Fort Wayne, IN
Sources for this page
- 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.