Organization
THE VISION CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW W THARP MD (PRESIDENT)
(812) 490-3937
Entity
Organization
Contact information
Practice address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 490-3937
(812) 426-9880
Mailing address
PO BOX 3873, EVANSVILLE, IN 47737-3873
(800) 467-2392
(812) 471-6650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200912620
—
IN
01
—
7100139090
KY MEDICAID MD GROUP
KY
01
—
7100160580
KY MEDICAID OD GROUP
KY
Enumeration date
02/17/2009
Last updated
01/29/2013
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