Eyesite Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYESITE OPTICAL

Practice address

4405 Bellemeade Ave
Ste. 101
Evansville, IN 47714-0682

Phone

(812) 474-1858

Fax

(812) 485-2476

NPI assigned

Jan 30, 2007

Organization subpart

Yes

Parent organization

ADVANCED VISION ASSOCIATES LLCAs reported in NPPES

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

Authorized official

Name

Dr. Timothy M Crowley, M.D.NPI 1407851371

Title

Owner

Phone

(812) 474-1010

Specialties & licenses 3

Addresses

Part of

Advanced Vision Associates

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Advanced Vision Associates LLC

  dba EyeSite Optical/Timothy M. Crowley, MD/Christopher W. Brackett, OD

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1528119492
  NPPES parent name

Practitioners 1

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

• Timothy M Crowley, M.D.

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1407851371
  NPD Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1649316936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 BELLEMEADE AVE",
            "address_2": "STE. 101",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140682",
            "telephone_number": "812-474-1858",
            "fax_number": "812-485-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 BELLEMEADE AVE",
            "address_2": "STE. 101",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140682",
            "telephone_number": "812-474-1858",
            "fax_number": "812-485-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESITE OPTICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED VISION ASSOCIATES LLC",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-474-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003248A",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01029433",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Evansville, IN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.