Healthcare Provider Details

I. General information

NPI: 1013843564
Provider Name (Legal Business Name): STORMS EYECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 JOHN WILLIAMS BLVD
BEDFORD IN
47421-9153
US

IV. Provider business mailing address

4055 W BARGE LN
BLOOMINGTON IN
47403-3701
US

V. Phone/Fax

Practice location:
  • Phone: 812-277-1275
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. KATIE PHILLIPS
Title or Position: OPTOMETRIST
Credential: O.D.
Phone: 812-276-5023