Presley Vision Services, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003067 Issued in IN

Legal business name

PRESLEY VISION SERVICES, PC

Practice address

10240 Coldwater Rd
Fort Wayne, IN 46825-2035

Phone

(260) 497-8626

NPI assigned

Oct 23, 2008

Last updated

Oct 23, 2008By 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

Dr. Michele White Presley, OD

Title

President

Phone

(260) 497-8626

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1659524502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11433 BROMLEY CV",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468452044",
            "telephone_number": "260-403-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252035",
            "telephone_number": "260-497-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESLEY VISION SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "PRESLEY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "WHITE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-497-8626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Indiana Medical PC (BAE Systems Fort Wayne IN)
• Premise Health of Indiana Medical PC (BAE Systems Fort Wayne IN)
• Premise Health of Indiana Medical PC (Premise Health)
• McKayla Prentice, RBT
• Timothy James Prentice, MA, LMHC
• Richard Douglas Presser, D.D.S.
• Charles F Presti, MD
• Yolanda Michelle Preston
• Christina Suzanne Preusz, MD
• Prevail Prosthetics and Orthotics

• Optometrist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.