VISION CARE ASSOCIATES PC NPI 1639250053

NPI Information

  • NPI: 1639250053
  • Provider Name: VISION CARE ASSOCIATES PC
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Address: 7750 W JEFFERSON BLVD
    FORT WAYNE, IN
    ZIP 46804
  • Phone: (260) 459-9595

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NPI Details

VISION CARE ASSOCIATES PC is an eyewear supplier in Fort Wayne, IN. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. VISION CARE ASSOCIATES PC NPI is 1639250053. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7750 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804-174
Phone: (260) 459-9595
Fax: (260) 459-9494

The provider's authorized official is Susan L Eggebrecht .
The authorized official title is Optometrist Owner and has the following contact phone number (260) 459-9595.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 12/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOpticianNo
2332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11273200001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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