Eyemart Family Vision Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1071DT Issued in KY

Legal business name

EYEMART FAMILY VISION CARE INC

Doing business as

Eye Mart

Practice address

9501 Taylorsville Rd Ste 106
Jeffersontown, KY 40299-2752

Phone

(502) 499-2020

Fax

(502) 499-6747

NPI assigned

Oct 13, 2008

Last updated

Aug 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Terry L Goodman, ODNPI 1831235498

Title

Owner

Phone

(502) 499-2020

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• EYE MART Doing business as

Locations

Practitioners 3

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.

• Terry L Goodman, OD

  • Optometrist
  • Louisville, KY
  • NPI 1831235498
  Authorized official Same address or phone
• Vonda Lee Heverly, O.D.

  • Optometrist
  • Mitchell, IN
  • NPI 1679555379
  NPD (past)
• David Seay, OD

  • Optometrist
  • Indianapolis, IN
  • NPI 1457303661
  NPD (past)

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660435200000",
    "number": "1851543656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 TAYLORSVILLE RD STE 106",
            "city": "JEFFERSONTOWN",
            "state": "KY",
            "postal_code": "402992752",
            "telephone_number": "502-499-2020",
            "fax_number": "502-499-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 TAYLORSVILLE RD STE 106",
            "city": "JEFFERSONTOWN",
            "state": "KY",
            "postal_code": "402992752",
            "telephone_number": "502-499-2020",
            "fax_number": "502-499-6747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1947 S Hurstbourne Pkwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402201645",
            "country_code": "US",
            "telephone_number": "502-499-2020",
            "fax_number": "502-499-6747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9503 Taylorsville Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Jeffersontown",
            "state": "KY",
            "postal_code": "402992734",
            "country_code": "US",
            "telephone_number": "502-499-2020",
            "fax_number": "502-499-6747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYEMART FAMILY VISION CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-499-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1071DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77010718",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77901775",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE MART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Jeffersontown, KY
• Providers in Jeffersontown, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; 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.