Wally Eye Center PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WALLY EYE CENTER PC

Practice address

1351 Veterans Pkwy
Clarksville, IN 47129-7747

Phone

(812) 288-8458

Fax

(812) 288-8466

NPI assigned

Jan 31, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Angela Buchanan, OD

Title

President

Phone

(812) 320-5406

Specialties & licenses 1

Addresses

Other names 1

• angie eye center Doing business as

Locations

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1972134609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 W ELROD LN",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471679405",
            "telephone_number": "812-320-5406",
            "fax_number": "812-288-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 VETERANS PKWY",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471297747",
            "telephone_number": "812-288-8458",
            "fax_number": "812-288-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLY EYE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-320-5406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "angie eye center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "angie eye center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walgreen Co
• Walgreen Co
• Jillian Grace Walker
• Tia Walker
• Karina Jean Wallace, NP
• Emory Waterbury
• Webb Family Eyecare of Indiana Inc.
• Larry E Webb, OD
• Tiffany Weible
• Leah Welch, APRN

• Optometrist in Clarksville, IN
• Providers in Clarksville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.