Gootee Vision Center, LLC
Organization Active NPI Optometrist · Nashville, IN
NPI 1821596271 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1821596271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 18004070B (IN)
- Legal business name
- GOOTEE VISION CENTER, LLC
- Practice address
- 50 Willow St Ste a
Nashville, IN 47448-7063 - Phone
- (812) 988-4937
- NPI assigned
- Jan 30, 2018
- Organization subpart
- No
Authorized official
- Name
- Benjamin Gootee, OD
- Title
- Owner/Manager
- Phone
- (317) 439-9396
Practitioners 2
-
Merle K Pickel Jr, O.D.
-
Jessica R Wagers, O.D.
National Provider Directory
Locations
50 Willow St
Ste A
Nashville, IN 47448
Phone (812) 988-4937
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 18004070B | IN | Yes |
Addresses
Primary practice location
50 Willow St Ste a
Nashville, IN 47448-7063
Mailing address
50 Willow St Ste a
Nashville, IN 47448-7063
Phone (812) 988-4937
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q024656 | Medicaid | TN |
Other names
- Brown County Eye Care
- Brown County Eye Care Center
Other providers in Nashville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.