Eric Skorupa, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003907 Issued in IN

Practice address

2001 Reed Rd
Fort Wayne, IN 46815

Phone

(260) 426-5663

Fax

(260) 426-5693

NPI assigned

Jun 24, 2015

Last updated

Aug 15, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Eye Consultants PCGroup PAC ID 2961399217, 71 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

55.99 of 100Reported as group

Quality

31.67

Improvement activities

40

Cost

78.58

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest Eye Consultants, P.C.

  dba Cataract & Laser Institute

  • Ophthalmology Physician
  • Fort Wayne, IN
  • NPI 1912960535
  Medicare reassignment Care Compare group NPD
• Midwest Eye Consultants, P.C.

  dba Midwest Eye Consultants DuPont

  • Optometrist
  • Fort Wayne, IN
  • NPI 1649654526
  NPD
• Midwest Eye Consultants P.C.

  dba Midwest Eye Consultants #31

  • Optometrist
  • Crown Point, IN
  • NPI 1134641202
  NPD (past)
• Midwest Eye Consultants, P.C.

  dba Midwest Eye Consultants #35

  • Optometrist
  • Chesterton, IN
  • NPI 1023066784
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1023490224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469920549",
            "telephone_number": "260-569-9550",
            "fax_number": "260-569-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 REED RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46815",
            "telephone_number": "260-426-5663",
            "fax_number": "260-426-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKORUPA",
        "first_name": "ERIC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01684783",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201294810",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Skeldon, CRNA
• Carson Skinner, RBT
• Melissa Sue Skinner, FNP
• Nicholas James Skinner
• Jessica Lee Skiver
• Brett L. Skramstad, PA
• Sky Home Health Care, Inc
• Sky Personal Care Inc.
• Sky Point Social Services
• Alyssa R. Slabaugh, GNP-C

• Optometrist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.