Individual provider Active NPI

Vonda Lee Heverly, O.D.

  • Optometrist
  • Mitchell, IN
National Provider Identifier
1679555379
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002881 Issued in IN
Practice address
527 Main St
Mitchell, IN 47446-1410
Phone
(812) 849-4385
NPI assigned
Nov 17, 2005
Last updated
Feb 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002881 IN Primary

Addresses

Primary practice location

527 Main St
Mitchell, IN 47446-1410

Mailing address

527 W Main St
Mitchell, IN 47446-1410
Phone (812) 849-4385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002881INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
John Kenyon American Eye Institute LLC Past Accepting new patients
SVS Vision Inc Optometrist Past Accepting new patients
Melanie Carver, Inc. Optometrist Past Accepting new patients
Smoot Eye Care, LLC Optometrist PastSince Jul 5, 2010 Accepting new patients
Eyemart Family Vision Care Inc Optometrist Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1679555379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W MAIN ST",
            "city": "MITCHELL",
            "state": "IN",
            "postal_code": "474461410",
            "telephone_number": "812-849-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MAIN ST",
            "city": "MITCHELL",
            "state": "IN",
            "postal_code": "474461410",
            "telephone_number": "812-849-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEVERLY",
        "first_name": "VONDA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.