MRS. SALLY G PRIMUS (NPI# 1114292208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114292208 |
| Entity Type | Individual |
| Full Name | MRS. SALLY G PRIMUS |
| Practice Address |
1020 W Buena Vista Rd Evansville IN 47710-5150 |
| Practice Telephone | 8124233131 |
| Mailing Telephone | 8124233131 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2017-03-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 01076710A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201185390 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225228828 | Sally Ann Primus | Social Worker | 3176 Lancer St, Suite 501, Portage, IN 46368 | 2007-07-30 |
| Street Address |
1020 W BUENA VISTA RD |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47710-5150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518964188 | William R Penland | Ophthalmology | 1020 W Buena Vista Rd, Evansville, IN 47710-5150 | 2005-06-28 |
| 1790886547 | The Eye Group of Southern Indiana, LLC | Durable Medical Equipment & Medical Supplies | 1020 W Buena Vista Rd, Evansville, IN 47710-5150 | 2006-09-26 |
| 1659478378 | Terri L Taylor | Optometrist | 1020 W Buena Vista Rd, Evansville, IN 47710-5150 | 2006-09-17 |
| 1679679898 | Cheryl K Jones | Technician/Technologist | 1020 W Buena Vista Rd, Evansville, IN 47710-5150 | 2006-09-15 |
| 1013948041 | The Eye Group of Southern Indiana LLC | Ophthalmology | 1020 W Buena Vista Rd, Evansville, IN 47710-5150 | 2006-07-06 |
| 1609875723 | Omar M Dukar | Ophthalmology | 1020 W Buena Vista Rd, Evansville, IN 47710-5150 | 2005-07-20 |
| 1104823566 | Michael R Hodges | Ophthalmology | 1020 W Buena Vista Rd, Evansville, IN 47710-5150 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
| 1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
| 1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
| 1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
| Find all providers in zip 47710 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225655533 | Vision Care Center LLC | Ophthalmology | 120 Se 4th St Ste 1300, Evansville, IN 47708-1607 | 2020-07-02 |
| 1326201997 | Professional Eye Care of Evansville | Ophthalmology | 2805 Lincoln Ave, Evansville, IN 47714-1724 | 2008-07-03 |
| 1710060520 | Charles Kenneth Fischer | Ophthalmology | 801 St. Mary's Drive, Suite 504, Evansville, IN 47714 | 2006-10-23 |
| 1982671194 | David I Malitz | Ophthalmology | 1001 Walnut St, Evansville, IN 47713-1963 | 2006-03-07 |
| 1144215856 | Terry W Talley | Ophthalmology | 201 W Iowa St, Evansville, IN 47710-1721 | 2005-09-19 |
| 1568460129 | Gregory L Hayden | Ophthalmology | 3801 Bellemeade Ave, Suite 320, Evansville, IN 47714-0100 | 2005-07-08 |
| 1518964188 | William R Penland | Ophthalmology | 1020 W Buena Vista Rd, Evansville, IN 47710-5150 | 2005-06-28 |
| 1104821966 | William G Carey | Ophthalmology | 954 S Kenmore Dr, Evansville, IN 47714-7513 | 2005-06-17 |
| 1407851371 | Timothy M Crowley | Ophthalmology | 4405 Bellemeade Ave, Ste 101, Evansville, IN 47714-0682 | 2005-06-16 |
| 1942716873 | Reinaldo F Pastora Md LLC | Ophthalmology | 3700 Washington Ave, Evansville, IN 47714-0541 | 2017-12-14 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47710 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.