CROSSTOWN EYECARE LLC (NPI# 1619148145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619148145 |
| Entity Type | Organization |
| Organization Name | CROSSTOWN EYECARE LLC |
| Practice Address |
990 S Marion St Martinsville IN 46151-2438 |
| Practice Telephone | 7653425497 |
| Practice Fax Number | 7653491922 |
| Mailing Telephone | 7653425497 |
| Mailing Fax Number | 7653491922 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2010-12-14 |
| Authorized Official Name | DR. D. PENN MOODY (MEMBER) |
| Authorized Official Telephone | 7653425497 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 152W00000X | Optometrist | 18001808B | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | SPECTERA | 02875 | 01 |
| IN | 23091 | 05 | |
| IN | DAVIS VISION | 4434 | 01 |
| IN | VISION SERVICE PLAN | 7653425497 | 01 |
| IN | EYEMED | IN1808 | 01 |
| Street Address |
990 S MARION ST |
| City | MARTINSVILLE |
| State | IN |
| Zip Code | 46151-2438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003847765 | Philip Salamander | Audiologist | 990 S Marion St, Martinsville, IN 46151-2438 | 2006-07-05 |
| 1356566970 | Crosstown Optical | Optometrist | 990 S Marion St, Martinsville, IN 46151-2438 | 2007-04-17 |
| 1134265838 | Shana D. Hunt | Optometrist | 990 S Marion St, Martinsville, IN 46151-2438 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376061341 | Curtis Andrew Legg | Chiropractor | 1100 In-39 Bypass, Martinsville, IN 46151 | 2017-08-30 |
| 1922448919 | Patricia Ann Watts | Clinic/Center | 5040 State Road 67 North, Bradford Woods Health Center, Martinsville, IN 46151 | 2013-07-05 |
| 1962700856 | Keather Kent | Behavioral Analyst | 1375 E Morgan St., Martinsville, IN 46151 | 2011-03-02 |
| 1124235783 | Weaver Chiropractic Center PC | Chiropractor | 1100 State Rd. 39 By-pass, Suite #a, Martinsville, IN 46151 | 2007-05-16 |
| 1629197991 | James Clinton Weaver | Chiropractor | 1100 State Roas 39 By-pass, #a, Martinsville, IN 46151 | 2007-03-28 |
| 1134212988 | Nathaniel H Hall | Dentist | 829 Plaza Drive, Martinsville, IN 46151 | 2006-10-02 |
| 1952404634 | Hook Superx LLC | Pharmacy | 789 State Rd 39 By Pass, Martinsville, IN 46151 | 2006-09-07 |
| 1992753453 | Community Partners In Prenatal Care Inc | Local Education Agency (LEA) | 389 N Jefferson St, Martinsville, IN 46151 | 2006-05-05 |
| 1144290040 | Angela Denise Harder | Occupational Therapy Assistant | 359 E Morgan Street, Martinsville, IN 46151 | 2006-01-24 |
| 1659447332 | Richard Travis Dotterer Jr. | Optometrist | 410 Grand Valley Blvd, Martinsville, IN 46151 | 2006-11-27 |
| Find all providers in zip 46151 | ||||
| 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 |
|---|---|---|---|---|
| 1740437169 | Martinsville Family Eye Care Center Inc. | Optometrist | 1089 E. Morgan St., Martinsville, IN 46151-1744 | 2008-08-27 |
| 1932291416 | Theresa Marie Bechtel | Optometrist | 1049 Brookdale St Ste C, Martinsville, VA 24112-3972 | 2006-09-29 |
| 1366450108 | Michael Leonard O'neal | Optometrist | 1089 E Morgan St, Martinsville, IN 46151-1744 | 2006-08-04 |
| 1922008952 | Michael Edward Ford | Optometrist | 240 Commonwealth Blvd W, Martinsville, VA 24112-1800 | 2005-08-01 |
| 1881693547 | Kelly Lynne Cunningham | Optometrist | 219 E Washington St, Martinsville, IN 46151-1554 | 2005-07-15 |
| 1174526008 | Gray W. Friedrichs | Optometrist | 1975 Virginia Ave, Martinsville, VA 24112-8388 | 2005-05-24 |
| 1669095584 | Jayla Rose Chamberlain | Optometrist | 1975 Virginia Ave, Martinsville, VA 24112-8388 | 2020-05-27 |
| 1184140618 | Vistar Eye Center, Inc | Optometrist | 749 E Church St, Martinsville, VA 24112-3106 | 2017-08-16 |
| 1821543836 | Mary Kathryn P F Zak | Optometrist | 1975 Virginia Ave, Martinsville, VA 24112-8388 | 2016-08-19 |
| 1710231709 | Theresa M Bechtel, Od LLC | Optometrist | 1049 Brookdale St Ste C, Martinsville, VA 24112-3972 | 2012-10-30 |
| Find all providers in MARTINSVILLE | ||||
| City | MARTINSVILLE |
| Zip Code | 46151 |
Please comment or provide details below to improve the information on CROSSTOWN EYECARE LLC.
| 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.