| Hayden Vision Llc | |
|
3801 Bellemeade Ave, Evansville, IN 47714-0100 | |
| (812) 477-3937 | |
| (812) 477-9797 |
| Full Name | Hayden Vision Llc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 3801 Bellemeade Ave, Evansville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982910253 | NPI | - | NPPES |
| 000000680191 | Other | IN | ANTHEM |
| 7100137330 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | 01043538 (Indiana) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Emily K Ryan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407842784 PECOS PAC ID: 4880663897 Enrollment ID: I20040927001077 |
| Provider Name | James M Stearns |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790780567 PECOS PAC ID: 3971508128 Enrollment ID: I20060922000171 |
| Provider Name | Charles M Millsap |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932103736 PECOS PAC ID: 7618954413 Enrollment ID: I20080826000321 |
| Provider Name | Gregory Lee Hayden |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568460129 PECOS PAC ID: 9537110309 Enrollment ID: I20100618000486 |
| Provider Name | Prince D Samuel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295730299 PECOS PAC ID: 3072410059 Enrollment ID: I20111209000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Hayden Vision Llc Po Box 722, Henderson, KY 42419-0722 Ph: (812) 477-3937 | Hayden Vision Llc 3801 Bellemeade Ave, Evansville, IN 47714-0100 Ph: (812) 477-3937 |