Organization Active NPI

Evansville Eyecare Associates, Inc.

  • Optometrist
  • Evansville, IN
National Provider Identifier
1801015458
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EVANSVILLE EYECARE ASSOCIATES, INC.
Practice address
213 Main St
Evansville, IN 47708-1445
Phone
(812) 424-4444
Fax
(812) 424-2200
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Dr. Kimberly Haywood-Pfender, O.D.NPI 1528124096
Title
Owner
Phone
(812) 424-4444

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: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

213 Main St
Evansville, IN 47708-1445

Mailing address

213 Main St
Evansville, IN 47708-1445
Phone (812) 424-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090428000448 IN Part B Supplier - Clinic/Group Practice 3678621828 Receives reassigned benefits from 3 practitioners
Practice locations: Evansville, IN
O20100930012877 IN DME Supplier - Physician - Optometrist 3678621828 Practice locations: Evansville, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Evansville Eyecare Associates, Inco213 Main St, Evansville, IN 47708-1445(812) 424-4444 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jul 1, 1991

National Provider Directory

National Provider Directory

Locations

213 Main St
Evansville, IN 47708
Phone (812) 424-4444

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/DF6GDTDH

Practitioners & affiliated clinicians

Practitioners 3

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1801015458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 MAIN ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081445",
            "telephone_number": "812-424-4444",
            "fax_number": "812-424-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MAIN ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081445",
            "telephone_number": "812-424-4444",
            "fax_number": "812-424-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSVILLE EYECARE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD-PFENDER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-424-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "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 Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.