Individual provider Active NPI

Nicholas Chalmer Feipel, O.D.

  • Optometrist
  • Westfield, IN
National Provider Identifier
1053758334
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003777A Issued in IN
Practice address
16409 Southpark Dr
Suite B
Westfield, IN 46074-8470
Phone
(317) 896-5005
NPI assigned
May 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003777A IN Primary

Addresses

Primary practice location

16409 Southpark Dr
Suite B
Westfield, IN 46074-8470

Mailing address

16409 Southpark Dr
Suite B
Westfield, IN 46074-8470
Phone (317) 896-5005

Other identifiers 1

IdentifierTypeStateIssuer
18003777AOtherINOPTOMETRIST LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130913000521 IN Practitioner - Optometry 5991949950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Busby Eye Care, LLCGroup PAC ID 3173695913, 6 clinicians

Practice addresses (Care Compare)

16409 Southpark Dr
Westfield, IN 46074-8471
Phone (317) 896-5505

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003777AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Busby Eye Care, LLC Optometrist CurrentSince Jun 8, 2013 Accepting new patients

Locations

16409 Southpark Dr
Ste B
Westfield, IN 46074
Phone (317) 896-5005

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": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1053758334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16409 SOUTHPARK DR",
            "address_2": "SUITE B",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748470",
            "telephone_number": "317-896-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16409 SOUTHPARK DR",
            "address_2": "SUITE B",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748470",
            "telephone_number": "317-896-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIPEL",
        "first_name": "NICHOLAS",
        "middle_name": "CHALMER",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003777A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIST LICENSE",
            "identifier": "18003777A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, IN

Sources for this page

Verify at the official NPI Registry.