Provider Demographics
NPI:1679709026
Name:SIZEMORE FAMILY VISION CARE,LLC
Entity Type:Organization
Organization Name:SIZEMORE FAMILY VISION CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SIZEMORE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:812-662-6000
Mailing Address - Street 1:1463 W WESTRIDGE PKWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:GREENSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47240-3252
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1463 W WESTRIDGE PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:GREENSBURG
Practice Address - State:IN
Practice Address - Zip Code:47240-3252
Practice Address - Country:US
Practice Address - Phone:812-662-6000
Practice Address - Fax:812-662-6009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-29
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003440152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty