NPIMap

Organization Active NPI

Clovernook Center for the Blind and Visually Impaired

  • Low Vision Rehabilitation Optometrist
  • Lawrenceburg, IN
National Provider Identifier
1831275882
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
35027971 Issued in OH
Legal business name
CLOVERNOOK CENTER FOR THE BLIND AND VISUALLY IMPAIRED
Practice address
368 Bielby Rd.
Suite #120
Lawrenceburg, IN 47025-1199
Phone
(812) 537-0417
NPI assigned
Oct 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Robin Leslie Usalis
Title
Vice President of Program Services
Phone
(513) 522-3860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WL0500X 35027971 OH Primary

Addresses

Primary practice location

368 Bielby Rd.
Suite #120
Lawrenceburg, IN 47025-1199

Mailing address

7000 Hamilton Ave.
Cincinnati, OH 45231-5297
Phone (513) 522-3860

National Provider Directory

National Provider Directory

Locations

465 Centre View Blvd
Crestview Hills, KY 41017
Phone (888) 234-7156

1574 Claretta Dr
Cincinnati, OH 45231
Phone (513) 207-6140

7000 Hamilton Ave
Cincinnati, OH 45231
Phone (513) 522-3860

425 Home St
Georgetown, OH 45121
Phone (937) 378-6121

346 Saint Paul Ave
Memphis, TN 38126
Phone (901) 523-9590

Practitioners & affiliated clinicians

Practitioners 5

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": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831275882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 HAMILTON AVE.",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452315297",
            "telephone_number": "513-522-3860",
            "fax_number": "513-728-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 BIELBY RD.",
            "address_2": "SUITE #120",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251199",
            "telephone_number": "812-537-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVERNOOK CENTER FOR THE BLIND AND VISUALLY IMPAIRED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "USALIS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PROGRAM SERVICES",
        "authorized_official_telephone_number": "513-522-3860",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "OH",
            "license": "35027971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.