Organization Active NPI

Garland Vision Institute LLC

  • Optometrist
  • Evansville, IN
National Provider Identifier
1750529699
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002690 Issued in IN
Legal business name
GARLAND VISION INSTITUTE LLC
Practice address
1033 E Mount Pleasant Rd
Suite B
Evansville, IN 47725-7149
Phone
(812) 437-2020
Fax
(812) 437-3988
NPI assigned
Jan 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Dr. Benjamin Lee Garland, O.D.NPI 1235132929
Title
Owner
Phone
(812) 437-2020

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
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 18002690 IN Primary

Addresses

Primary practice location

1033 E Mount Pleasant Rd
Suite B
Evansville, IN 47725-7149

Mailing address

1033 E Mount Pleasant Rd
Suite B
Evansville, IN 47725-7149
Phone (812) 437-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050627000601 IN Part B Supplier - Clinic/Group Practice 4880639194 Receives reassigned benefits from 2 practitioners
Practice locations: Evansville, IN

National Provider Directory

National Provider Directory

Locations

1033 E Mount Pleasant Rd
Ste B
Evansville, IN 47725
Phone (812) 401-1010

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1750529699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 E MOUNT PLEASANT RD",
            "address_2": "SUITE B",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477257149",
            "telephone_number": "812-437-2020",
            "fax_number": "812-437-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 E MOUNT PLEASANT RD",
            "address_2": "SUITE B",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477257149",
            "telephone_number": "812-437-2020",
            "fax_number": "812-437-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARLAND VISION INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "GARLAND",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-437-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.