Provider Demographics
NPI:1003902339
Name:BETTER VISIONS, P.C.
Entity Type:Organization
Organization Name:BETTER VISIONS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:B
Authorized Official - Last Name:HOGUE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:260-627-2669
Mailing Address - Street 1:7625 SOUTHTOWN XING
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46816-2517
Mailing Address - Country:US
Mailing Address - Phone:260-447-9731
Mailing Address - Fax:260-441-8276
Practice Address - Street 1:10529 HOSLER RD
Practice Address - Street 2:
Practice Address - City:LEO
Practice Address - State:IN
Practice Address - Zip Code:46765-9736
Practice Address - Country:US
Practice Address - Phone:260-627-2669
Practice Address - Fax:260-627-2011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18002634B152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100097060AMedicaid
INM100014907Medicare PIN