Organization Active NPI

Visionelle Eyecare Inc

Doing business as Visionelle Eyecare

  • Clinic/Center
  • Zionsville, IN
National Provider Identifier
1982073078
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
18003780A Issued in IN
Legal business name
VISIONELLE EYECARE INC
Doing business as
Visionelle Eyecare
Practice address
6618 Whitestown Parkway
Zionsville, IN 46077
Phone
(832) 259-4137
NPI assigned
Sep 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Authorized official

Name
Nytarsha ThomasNPI 1831477215
Title
Owner
Phone
(317) 769-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 18003780A IN Primary

Addresses

Primary practice location

6618 Whitestown Parkway
Zionsville, IN 46077

Mailing address

6618 Whitestown Parkway
Zionsville, IN 46077
Phone (317) 769-3937

Other names 1

  • Visionelle Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151026000400 IN Part B Supplier - Clinic/Group Practice 8022327451 Receives reassigned benefits from 1 practitioner
Practice locations: Zionsville, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2284577Visionelle Eyecare6618 Whitestown Parkway, Zionsville, IN 46077Certificate of waiverJun 25, 2027

National Provider Directory

National Provider Directory

Locations

6618 Whitestown Pkwy
Zionsville, IN 46077
Phone (317) 769-3937

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1982073078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6618 WHITESTOWN PARKWAY",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "46077",
            "telephone_number": "317-769-3937",
            "fax_number": "317-769-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6618 WHITESTOWN PARKWAY",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "46077",
            "telephone_number": "832-259-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONELLE EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "NYTARSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-769-3937"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "18003780A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionelle Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zionsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.