VISION CARE ASSOCIATES PC (NPI# 1639250053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639250053 |
Entity Type | Organization |
Organization Name | VISION CARE ASSOCIATES PC |
Practice Address |
7750 W Jefferson Blvd Fort Wayne IN 46804-4174 |
Practice Telephone | 2604599595 |
Practice Fax Number | 2604599494 |
Mailing Telephone | 2604599595 |
Mailing Fax Number | 2604599494 |
Enumeration Date | 2006-10-19 |
Last Update Date | 2011-12-06 |
Authorized Official Name | SUSAN L EGGEBRECHT (OPTOMETRIST OWNER) |
Authorized Official Telephone | 2604599595 |
Authorized Official Credential | OD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861585655 | Vision Care Associates PC | Optometrist | 7750 W Jefferson Blvd, Fort Wayne, IN 46804 | 2006-10-02 |
1528020773 | Vision Care Associates PC | Optometrist | 600 Ontario St, Storm Lake, IA 50588-1845 | 2006-04-04 |
Street Address |
7750 W JEFFERSON BLVD |
City | FORT WAYNE |
State | IN |
Zip Code | 46804-4174 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700857281 | Susan Lynn Eggebrecht | Optometrist | 7750 W Jefferson Blvd, Fort Wayne, IN 46804 | 2006-01-31 |
1447410501 | Periodontic Specialists, P.C. | Dentist | 7750 W Jefferson Blvd, Fort Wayne, IN 46804-4174 | 2008-06-12 |
1053408609 | Periodontics Limited | Dentist | 7750 W Jefferson Blvd, Fort Wayne, IN 46804-4174 | 2006-10-06 |
1306933916 | Daniel F. Gabrek | Dentist | 7750 W Jefferson Blvd, Fort Wayne, IN 46804-4174 | 2006-10-06 |
1235226861 | Lloyd J. Hagedorn | Dentist | 7750 W Jefferson Blvd, Fort Wayne, IN 46804-4174 | 2006-10-06 |
1861585655 | Vision Care Associates PC | Optometrist | 7750 W Jefferson Blvd, Fort Wayne, IN 46804 | 2006-10-02 |
1407860216 | Wayne Lee Dawes | Dentist | 7750 W Jefferson Blvd, Fort Wayne, IN 46804-4174 | 2006-07-28 |
1508830209 | Donald A Bollheimer | Ophthalmology | 7750 W Jefferson Blvd, Vision Care Associates PC, Fort Wayne, IN 46804 | 2006-02-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
Find all providers in zip 46804 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760993810 | Longe Enterprises Corp | Eyewear Supplier (Equipment, not the service) | 5711 Ymca Park Dr East, Fort Wayne, IN 46835 | 2017-10-17 |
1881927317 | Longe Optical-north Inc | Eyewear Supplier (Equipment, not the service) | 4534 Maplecrest Rd, Fort Wayne, IN 46835-3970 | 2009-09-16 |
1700932415 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 333 East Coliseum Boulevard, Fort Wayne, IN 46805 | 2007-01-26 |
1770667917 | Longe Optical | Eyewear Supplier (Equipment, not the service) | 7625 Southtown Crossing, Fort Wayne, IN 46816-2506 | 2006-10-24 |
1649293903 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 4201 Coldwater Road, Fort Wayne, IN 46805 | 2006-07-26 |
1205822145 | Tri-state Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 5233 Coldwater Rd, Fort Wayne, IN 46825-5538 | 2005-09-26 |
1013903962 | Tristate Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 6424 W Jefferson Blvd, Fort Wayne, IN 46804-6204 | 2005-09-26 |
1528584562 | Eyecare Express | Eyewear Supplier (Equipment, not the service) | 700 E Coliseum Blvd, Fort Wayne, IN 46805-1220 | 2017-08-22 |
1477944510 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 5110 Value Dr, Fort Wayne, IN 46808-4048 | 2015-02-11 |
1194123026 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 515 E Coliseum Blvd, Fort Wayne, IN 46805-1215 | 2014-12-09 |
Find all providers in FORT WAYNE |
City | FORT WAYNE |
Zip Code | 46804 |
Please comment or provide details below to improve the information on VISION CARE ASSOCIATES PC.
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.