NORTHSIDE EYECARE ASSOCIATES, LLC (NPI# 1306077839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306077839 |
Entity Type | Organization |
Organization Name | NORTHSIDE EYECARE ASSOCIATES, LLC |
Practice Address |
634 Cross Valley Cir Evansville IN 47710-5238 |
Practice Telephone | 8124017777 |
Practice Fax Number | 8124290392 |
Mailing Telephone | 8124017777 |
Enumeration Date | 2009-07-31 |
Last Update Date | 2013-01-21 |
Authorized Official Name | DR. JEFFREY D. IRVIN (OWNER) |
Authorized Official Telephone | 8124017777 |
Authorized Official Credential | O.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 152W00000X | Optometrist | 18003181 | IN | Eye and Vision Services Providers |
Y | 152W00000X | Optometrist | 18003164 | IN | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200981140 | 05 | |
IN | RAILROAD MEDICARE | DR3932 | 01 |
IN | DMERC | 6503910001 | 01 |
Street Address |
634 CROSS VALLEY CIR |
City | EVANSVILLE |
State | IN |
Zip Code | 47710-5238 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528053113 | James C. Bigham | Optometrist | 634 Cross Valley Cir, Evansville, IN 47710-5238 | 2005-09-20 |
1245750785 | Hannah M Powers | Optometrist | 634 Cross Valley Cir, Evansville, IN 47710-5238 | 2017-06-26 |
1770894222 | Heather R Russ | Optometrist | 634 Cross Valley Cir, Evansville, IN 47710-5238 | 2010-06-30 |
1780886499 | Advanced Eye Care, P.C. | Optometrist | 634 Cross Valley Cir, Evansville, IN 47710-5238 | 2007-06-04 |
1124170964 | Professional Eyecare Management, LLC | Optometrist | 634 Cross Valley Cir, Evansville, IN 47710-5238 | 2007-01-18 |
1013025683 | Jeffrey D. Irvin | Optometrist | 634 Cross Valley Cir, Evansville, IN 47710-5238 | 2006-08-25 |
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 | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255998308 | Christopher Alexander Ambrose | Optometrist | 101 Nw 1st St Ste 112, Evansville, IN 47708-1259 | 2019-05-23 |
1134637028 | Eyefinery Speciality Vision Care, LLC | Optometrist | 851 S Alvord Blvd, Evansville, IN 47714-2251 | 2018-01-14 |
1245663632 | Eric John Moreau | Optometrist | 499 N Green River Rd, Evansville, IN 47715-2409 | 2013-08-20 |
1871853713 | Daniel & Max | Optometrist | 1614 N. Green River Rd, Evansville, IN 47715-1902 | 2012-05-25 |
1477811040 | Mcwilliams Vision Care LLC | Optometrist | 7144 E Virginia St Ste A, Evansville, IN 47715-9125 | 2012-05-02 |
1396033726 | Image Eye Care P C | Optometrist | 5600 E Virginia St Ste A, Evansville, IN 47715-2657 | 2011-07-19 |
1700117249 | Ohio Valley Eye Institute | Optometrist | 6540 Logan Dr Ste 3, Evansville, IN 47715-8238 | 2010-01-22 |
1437293602 | Cheryl Anne Lamm | Optometrist | 1100 S Green River Rd, Evansville, IN 47715-6804 | 2007-02-19 |
1255473948 | Lynda Elaine Price | Optometrist | 800 N Green River Road, Eastland Mall, Evansville, IN 47715-2471 | 2007-02-12 |
1750437976 | National Vision, Inc. | Optometrist | 1401 North Green River Road, Evansville, IN 47715 | 2007-01-29 |
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.