NPIMap

Organization Active NPI

Vonda Heverly Inc.

  • Optometrist
  • Mitchell, IN
National Provider Identifier
1811089410
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002881 Issued in IN
Legal business name
VONDA HEVERLY INC.
Practice address
527 W Main St
Mitchell, IN 47446-1410
Phone
(812) 849-4385
Fax
(812) 849-0078
NPI assigned
Sep 29, 2006
Last updated
Feb 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Dr. Vonda Lee Heverly, O.D.NPI 1679555379
Title
President
Phone
(812) 849-4385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002881 IN Primary

Addresses

Primary practice location

527 W Main St
Mitchell, IN 47446-1410

Mailing address

527 W Main St
Mitchell, IN 47446-1410
Phone (812) 849-4385

National Provider Directory

National Provider Directory

Locations

527 W Main St
Mitchell, IN 47446
Phone (812) 849-4385

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1811089410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W MAIN ST",
            "city": "MITCHELL",
            "state": "IN",
            "postal_code": "474461410",
            "telephone_number": "812-849-4385",
            "fax_number": "812-849-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 W MAIN ST",
            "city": "MITCHELL",
            "state": "IN",
            "postal_code": "474461410",
            "telephone_number": "812-849-4385",
            "fax_number": "812-849-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VONDA HEVERLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "HEVERLY",
        "authorized_official_first_name": "VONDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-849-4385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.