Organization Active NPI

In Vision Eye Care, Inc.

Doing business as Eyeworks Vision Centers

  • Optometrist
  • Wilmington, DE
National Provider Identifier
1699807875
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I3-0001250 Issued in DE
Legal business name
IN VISION EYE CARE, INC.
Doing business as
Eyeworks Vision Centers
Practice address
2205 Concord Pike
Wilmington, DE 19803-2908
Phone
(302) 655-1952
Fax
(302) 655-5601
NPI assigned
Mar 12, 2007
Last updated
Dec 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
Dr. Roger D Ammon, O.D.NPI 1144311010
Title
Preisident
Phone
(302) 235-7031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X I3-0001250 DE Primary

Addresses

Primary practice location

2205 Concord Pike
Wilmington, DE 19803-2908

Mailing address

2205 Concord Pike
Wilmington, DE 19803-2908
Phone (302) 655-1952

Other names 1

  • Eyeworks Vision Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080317000435 DE Part B Supplier - Clinic/Group Practice 6406931344 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Wilmington, DE

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2205 Concord Pike
Wilmington, DE 19803
Phone (302) 655-1952

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1699807875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 CONCORD PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032908",
            "telephone_number": "302-655-1952",
            "fax_number": "302-655-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 CONCORD PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032908",
            "telephone_number": "302-655-1952",
            "fax_number": "302-655-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN VISION EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "AMMON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PREISIDENT",
        "authorized_official_telephone_number": "302-235-7031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyeworks Vision Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.