Expert Eyecare P C
Organization Active NPI Optometrist · North Vernon, IN
NPI 1720176183 · NPPES record last updated Jan 14, 2008
Key facts
- NPI
- 1720176183
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- EXPERT EYECARE P C
- Practice address
- 401 Henry St
North Vernon, IN 47265-1003 - Phone
- (812) 346-2020
- Fax
- (812) 346-4636
- NPI assigned
- Oct 11, 2006
- Organization subpart
- No
Authorized official
- Name
- William D Burnett, O.D.
- Title
- President
- Phone
- (812) 346-2020
Practitioners 5
-
William D Burnett, O.D.
-
Chassie A Broadus, O.D.
-
Olivia Ann Lux, OD
-
Emily Nixon, OD
-
Catherine Green, OD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Expert Eyecare |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070116000063 | IN | Part B Supplier - Clinic/Group Practice | 6406857598 |
Receives reassigned benefits from 5 practitioners Practice locations: North Vernon, IN |
| O20100930083997 | IN | DME Supplier - Physician - Optometrist | 6406857598 | Practice locations: North Vernon, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
401 Henry St
North Vernon, IN 47265-1003
Mailing address
401 Henry St
North Vernon, IN 47265-1003
Phone (812) 346-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000103279 | Other | IN | ANTHEM |
Other providers in North Vernon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.