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EYESITE OPTICAL NPI 1649316936


NPI Information

NPI: 1649316936
Provider Name: EYESITE OPTICAL
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
4405 BELLEMEADE AVE
STE. 101
EVANSVILLE, IN
ZIP 47714
Phone: (812) 474-1858
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EYESITE OPTICAL is an eyewear supplier in Evansville, IN. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. EYESITE OPTICAL NPI is 1649316936. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4405 BELLEMEADE AVE
STE. 101
EVANSVILLE, IN
ZIP 47714-682
Phone: (812) 474-1858
Fax: (812) 485-2476

The provider's authorized official is Timothy M Crowley .
The authorized official title is Owner and has the following contact phone number (812) 474-1010.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 12/23/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist18003248AINDIANANo
2207W00000XOphthalmology01029433INDIANANo
3332H00000XEyewear 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13959300001MEDICARE NSCINDIANA
2231380MEDICARE PININDIANA

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: 4/28/2024

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