Valley Eye Institute

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VALLEY EYE INSTITUTE

Practice address

1219 Recker Rd
Piqua, OH 45356

Phone

(937) 492-3755

Fax

(937) 492-1132

NPI assigned

Jun 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly A Bowman

Title

Billing Manager

Phone

(937) 492-3755

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Valley Eye Institute3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Valley Eye Institute

  • Optometrist
  • Sidney, OH
  • NPI 1346278389
  NPD tax ID
• Valley Eye Institute

  • Optometrist
  • Troy, OH
  • NPI 1578590451
  NPD tax ID

Practitioners 1

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

• Michael Lee Stark, DO

  • Ophthalmology Physician
  • Sidney, OH
  • NPI 1679579577
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669409546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 FAIRINGTON DRIVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "45365",
            "telephone_number": "937-492-3755",
            "fax_number": "937-492-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 RECKER RD",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "45356",
            "telephone_number": "937-492-3755",
            "fax_number": "937-492-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY EYE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "937-492-3755",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2344234",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jimmy Scott Vandyke, LICDC
• Calen Catherine Vernon
• Gary Wagner
• Heather M Wagner, RN
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3765)

• Optometrist in Piqua, OH
• Providers in Piqua, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.