SPORTS VISION SPECIALISTS LLC (NPI# 1700250628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700250628 |
| Entity Type | Organization |
| Organization Name | SPORTS VISION SPECIALISTS LLC |
| Practice Address |
643 Ohio St Terre Haute IN 47807-3525 |
| Practice Telephone | 8122321000 |
| Practice Fax Number | 8122321007 |
| Mailing Telephone | 8122321000 |
| Mailing Fax Number | 8122321007 |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | AMANDA ELAINE JUDSON (OWNER) |
| Authorized Official Telephone | 8122321000 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WS0006X |
Optometrist Specialization: Sports Vision |
18003213A | IN | Eye and Vision Services Providers |
| Street Address |
643 OHIO ST |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47807-3525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891788402 | Ossip Optometry, PC | Optometrist | 643 Ohio St, Terre Haute, IN 47807-3525 | 2005-08-30 |
| 1346748225 | Judson Family Vision Care, LLC | Optometrist | 643 Ohio St, Terre Haute, IN 47807-3525 | 2018-01-25 |
| 1255367686 | Amanda Elaine Judson | Optometrist | 643 Ohio St, Terre Haute, IN 47807-3525 | 2006-06-25 |
| 1144213786 | Brian Matthew Ross | Optometrist | 643 Ohio St, Terre Haute, IN 47807-3525 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972150175 | Acceleraed Rehabilitation Centers Ltd | Physical Therapist | 516 Wabash Ave, Terre Haute, IN 47807 | 2019-08-22 |
| 1548753403 | Terre Haute Aal Lp | Assisted Living Facility | 650 Lafayette Avenue, Terre Haute, IN 47807 | 2018-06-14 |
| 1790286300 | Hamilton Center, Inc. | Clinic/Center | 88 Court Wabash Court, Terre Haute, IN 47807 | 2018-02-28 |
| 1073022703 | Charles Martinez | Case Manager/Care Coordinator | 1619 5th Ave, Terre Haute, IN 47807 | 2017-09-26 |
| 1326578931 | Ian Nicholas Bostock | Specialist/Technologist | 1113 North 8th Street, Terre Haute, IN 47807 | 2017-06-15 |
| 1619309804 | Kimberly R Rollings | Audiologist | 1429 North Sixth Street, Terre Haute, IN 47807 | 2013-07-30 |
| 1376827550 | Lazaro Vu | Pharmacist | 1300 Wabash Avenue, Terre Haute, IN 47807 | 2011-10-05 |
| 1609016211 | Midwest Neurosurgery, P.C. | Specialist | 1530 N. 7th Street, Suite 106, Terre Haute, IN 47807 | 2009-02-23 |
| 1114007838 | Micheal J Deady Dds Inc | Oral & Maxillofacial Surgery | 1630 Poplar St, Terre Haute, IN 47807 | 2006-10-17 |
| 1316958549 | Wabash Valley Urological Assoc Inc | Specialist | 1235 Ohio Street, Terre Haute, IN 47807 | 2006-08-11 |
| Find all providers in zip 47807 | ||||
| Taxonomy Code | 152WS0006X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Sports Vision |
| An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the prevention of sports-related injuries; vision enhancement - which may include vision therapy and techniques to improve visual skills specific to the athlete’s sport. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932521580 | Peak Visual Performance, LLC | Optometrist | 1607 S Scatterfield Rd, Ste B, Anderson, IN 46016-5788 | 2014-01-16 |
| City | TERRE HAUTE |
| Zip Code | 47807 |
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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.