Provider Demographics
NPI:1780099580
Name:VALLEY EYE CARE LLC
Entity type:Organization
Organization Name:VALLEY EYE CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:COOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-936-5222
Mailing Address - Street 1:9529 W STATE ROAD 56
Mailing Address - Street 2:
Mailing Address - City:FRENCH LICK
Mailing Address - State:IN
Mailing Address - Zip Code:47432-9708
Mailing Address - Country:US
Mailing Address - Phone:812-936-5222
Mailing Address - Fax:812-936-5225
Practice Address - Street 1:9529 W STATE ROAD 56
Practice Address - Street 2:
Practice Address - City:FRENCH LICK
Practice Address - State:IN
Practice Address - Zip Code:47432-9708
Practice Address - Country:US
Practice Address - Phone:812-936-5222
Practice Address - Fax:812-936-5225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-01
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003699B152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty