Sports Vision Specialists LLC

Primary specialty

Sports Vision OptometristTaxonomy code 152WS0006X

License

18003213A Issued in IN

Legal business name

SPORTS VISION SPECIALISTS LLC

Practice address

643 Ohio St
Terre Haute, IN 47807-3525

Phone

(812) 232-1000

Fax

(812) 232-1007

NPI assigned

Nov 16, 2015

Organization subpart

No

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

Authorized official

Name

Amanda Elaine Judson, OD

Title

Owner

Phone

(812) 232-1000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1700250628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 OHIO ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073525",
            "telephone_number": "812-232-1000",
            "fax_number": "812-232-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 OHIO ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073525",
            "telephone_number": "812-232-1000",
            "fax_number": "812-232-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS VISION SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "JUDSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-232-1000",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WS0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "IN",
            "license": "18003213A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jann Katherine Speidel, LCSW, LCAC
• Abigail Bryn Spencer
• Kendall Spicer, PHARM.D.
• Kenneth M Spicklemire, MD
• Twyla A. Spidel, RN
• Janine Marie Sprague I, OTR
• Kathryn A Springer, PSY.D.
• June Sprock, PH.D.
• Ronny Ssemujju
• Kathy Ann Stagg, MSW, LCSW

• Sports Vision Optometrist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Sports Vision Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.