Kathy J Vance, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1051DT Issued in KY

Practice address

120 W Market St
Louisville, KY 40202-1332

Phone

(502) 585-2020

Fax

(502) 585-1797

NPI assigned

May 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1972550291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MARKET ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021332",
            "telephone_number": "502-585-2020",
            "fax_number": "502-585-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MARKET ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021332",
            "telephone_number": "502-585-2020",
            "fax_number": "502-585-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "KATHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1051DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410036412",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77010510",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeff Morris Vanarsdale, RPH
• Vanessa Vanarsdale, PHARMD
• John Aaron Vanarsdall II, M.D.
• Victor Henry Vanberkel, MD PHD
• Kelly S Vanbussum, NP
• Savannah Vance, CCC-SLP
• Sharon Vancleaf
• Stephanie Dawn Vander Zouwen
• Julie Vanderespt
• Kimberly Marie Vanderespt, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.