NPIMap

Organization Active NPI

Vision Service Corporation

Doing business as Eye Mart

  • Optometrist
  • Evansville, IN
National Provider Identifier
1831103290
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001803 Issued in IN
Legal business name
VISION SERVICE CORPORATION
Doing business as
Eye Mart
Practice address
4810 Tecumseh LN
Evansville, IN 47715-3220
Phone
(812) 475-0035
Fax
(812) 477-4537
NPI assigned
Jul 28, 2006
Last updated
Jul 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Kim Short, D.O.
Title
Controller
Phone
(812) 475-0035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001803 IN Primary

Addresses

Primary practice location

4810 Tecumseh LN
Evansville, IN 47715-3220

Mailing address

4810 Tecumseh LN
Evansville, IN 47715-3220
Phone (812) 475-0035

Other names 1

  • Eye Mart Doing business as

National Provider Directory

National Provider Directory

Locations

5405 Pearl Dr
Ste 4
Evansville, IN 47712
Phone (812) 426-2066

114 W Honey Creek Pkwy
Terre Haute, IN 47802
Phone (812) 234-6500

164 W Honey Creek Pkwy
Terre Haute, IN 47802
Phone (812) 234-6500

410 Southtown Blvd
Owensboro, KY 42303
Phone (270) 688-8811

2051 N Bechtle Ave
#130
Springfield, OH 45504
Phone (937) 399-8000

Practitioners & affiliated clinicians

Practitioners 7

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1831103290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 TECUMSEH LN",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477153220",
            "telephone_number": "812-475-0035",
            "fax_number": "812-477-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 TECUMSEH LN",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477153220",
            "telephone_number": "812-475-0035",
            "fax_number": "812-477-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "812-475-0035",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 31, 2012; 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.