| Visionelle Eyecare | |
|
6618 Whitestown Parkway Zionsville IN 46077 | |
| (832) 259-4137 | |
| Not Available |
| Full Name | Visionelle Eyecare |
|---|---|
| Speciality | Clinic/Center |
| Location | 6618 Whitestown Parkway, Zionsville, Indiana |
| Authorized Official Name and Position | Nytarsha Thomas (OWNER) |
| Authorized Official Contact | 3177693937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visionelle Eyecare 6618 Whitestown Parkway Zionsville IN 46077 Ph: (317) 769-3937 | Visionelle Eyecare 6618 Whitestown Parkway Zionsville IN 46077 Ph: (832) 259-4137 |
| NPI Number | 1982073078 |
|---|---|
| Provider Enumeration Date | 09/18/2015 |
| Last Update Date | 01/10/2019 |
| Medicare PECOS PAC ID | 8022327451 |
|---|---|
| Medicare Enrollment ID | O20151026000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982073078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 18003780A (Indiana) | Primary |
| Provider Name | Nytarsha Nicole Thomas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831477215 PECOS PAC ID: 6709057904 Enrollment ID: I20140110000875 |
| Provider Name | Gentry Jarrett Kerwood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598382376 PECOS PAC ID: 7214350610 Enrollment ID: I20200701002591 |
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