Individual provider Active NPI

Cheryl A McCormick, O.D.

  • Optometrist
  • Vincennes, IN
National Provider Identifier
1902833049
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001820A Issued in IN
Practice address
120 Main St
Vincennes, IN 47591-1234
Phone
(812) 255-3003
Fax
(812) 255-5449
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001820A IN Primary

Addresses

Primary practice location

120 Main St
Vincennes, IN 47591-1234

Mailing address

6751 S McCormick Rd
Vincennes, IN 47591-9148
Phone (812) 890-3306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Main St
P.O. Box 963
Vincennes, IN 47591-1234

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18001820AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Image Eye Center LLC Optometrist CurrentSince Aug 1, 2023 Accepting new patients

Locations

120 Main St
Vincennes, IN 47591
Phone (812) 255-0559

1209 S State Road 57
Washington, IN 47501
Phone (812) 254-0990

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1902833049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6751 S MCCORMICK RD",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475919148",
            "telephone_number": "812-890-3306",
            "fax_number": "812-255-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAIN ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911234",
            "telephone_number": "812-255-3003",
            "fax_number": "812-255-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "CHERYL",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001820A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.