Valley Eye Care LLC
Organization Active NPI Optometrist · French Lick, IN
NPI 1780099580 · NPPES record last updated Sep 3, 2024
Key facts
- NPI
- 1780099580
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 18003699B (IN)
- Legal business name
- VALLEY EYE CARE LLC
- Practice address
- 9529 W State Road 56
French Lick, IN 47432-9708 - Phone
- (812) 936-5222
- Fax
- (812) 936-5225
- NPI assigned
- Jul 1, 2014
- Organization subpart
- No
Authorized official
- Name
- Aaron Kyle Cooke
- Title
- Owner
- Phone
- (812) 936-5222
Practitioners 2
-
Aaron Kyle Cooke, O.D.
-
Zachary C Short, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150130000796 | IN | Part B Supplier - Clinic/Group Practice | 3173847712 |
Receives reassigned benefits from 1 practitioner Practice locations: French Lick, IN |
National Provider Directory
Locations
8849 W State Road 56
Ste 1
French Lick, IN 47432
Phone (812) 936-5222
8849 W State Road 56
French Lick, IN 47432
9529 W State Road 56
French Lick, IN 47432
Phone (812) 936-2425
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 18003699B | IN | Yes |
Addresses
Primary practice location
9529 W State Road 56
French Lick, IN 47432-9708
Mailing address
9529 W State Road 56
French Lick, IN 47432-9708
Phone (812) 936-5222
Other names
- Valley eye Care
Other providers in French Lick, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.