Active NPI
David V Poer, M.D., F.A.C.S.
- Ophthalmology Physician
- Indianapolis, IN
National Provider Identifier
1043214034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01025779
- Practice address
- 8902 N Meridian St
Ste 120
Indianapolis, IN 46260-5306 - Phone
- (317) 582-1118
- Fax
- (317) 582-1116
- NPI assigned
- Jun 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01025779 | IN | Primary |
Addresses
Primary practice location
8902 N Meridian St
Ste 120
Indianapolis, IN 46260-5306
Mailing address
8902 N Meridian St
Ste 120
Indianapolis, IN 46260-5306
Phone (317) 582-1118
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000085332 | Other | IN | ANTHEM PIN |
| 100071570 | Medicaid | IN | |
| 180001035 | Other | IN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258588800000",
"number": "1043214034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8902 N MERIDIAN ST",
"address_2": "STE 120",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462605306",
"telephone_number": "317-582-1118",
"fax_number": "317-582-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8902 N MERIDIAN ST",
"address_2": "STE 120",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462605306",
"telephone_number": "317-582-1118",
"fax_number": "317-582-1116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POER",
"first_name": "DAVID",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D., F.A.C.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2009-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "01025779",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000085332",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100071570",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180001035",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.