Nicholas E. Bantz, OD
Individual provider Active NPI Optometrist · McCordsville, IN
NPI 1063254829 · NPPES record last updated Jun 11, 2024
Key facts
- NPI
- 1063254829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 18004499A (IN)
- Practice address
- 13840 E 96TH St
McCordsville, IN 46055-9394 - Phone
- (317) 720-2020
- Fax
- (317) 886-7955
- NPI assigned
- Jun 11, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Visionquest Eyecare PC
First Impressions Optometric Associates, LLC
Practice addresses (Care Compare)
13840 E 96TH St
McCordsville, IN 46055-9394
Phone (317) 720-2020
2141 Sagamore Pkwy S
Visionworks Doctors of Optometry
Lafayette, IN 47905-5109
Phone (765) 446-8010
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240627002093 | IN | Practitioner - Optometry | 5799229092 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18004499A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Impressions Optometric Associates, LLC | Optometrist | Current |
Accepting new patients |
| Visionquest Eyecare PC | Optometrist | Current |
Accepting new patients |
| First Impressions Optometric Associates, LLC | Optometrist | Current |
Accepting new patients |
| First Impressions Optometric Associates, LLC | Optometrist | Past | Accepting new patients |
| First Impressions Optometric Associates, LLC | Optometrist | Past | Accepting new patients |
| First Impressions Optometric Associates, LLC | Optometrist | Past | Accepting new patients |
| First Impressions Optometric Associates, LLC | Optometrist | Past | Accepting new patients |
| First Impressions Optometric Associates, LLC | Optometrist | Past | Accepting new patients |
| First Impressions Optometric Associates, LLC | Optometrist | Past | Accepting new patients |
| First Impressions Optometric Associates, LLC | Optometrist | Past | Accepting new patients |
| First Impressions Optometric Associates, LLC | Optometrist | Past | Accepting new patients |
Locations
10447 E US Highway 36
Avon, IN 46123
Phone (317) 273-1702
1950 E Greyhound Pass
Ste 2
Carmel, IN 46033
Phone (317) 569-0860
9893 N Michigan Rd
Ste 100
Carmel, IN 46032
Phone (317) 872-3451
11781 Commercial Dr
Fishers, IN 46038
Phone (317) 513-3234
2887 S State Road 135
Greenwood, IN 46143
Phone (317) 865-6829
1251 US Highway 31 N
Ste K3A
Greenwood, IN 46142
Phone (317) 883-0419
10777 E Washington St
Ste A
Indianapolis, IN 46229
Phone (317) 397-0480
2141 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 446-8010
13840 E 96th St
McCordsville, IN 46055
Phone (317) 720-2020
14139 Town Center Blvd
Ste 550
Noblesville, IN 46060
Phone (317) 770-1018
4440 S US Highway 41
Ste 102
Terre Haute, IN 47802
Phone (812) 232-2988
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18004499A | IN | Yes |
Addresses
Primary practice location
13840 E 96TH St
McCordsville, IN 46055-9394
Mailing address
2887 S State Road 135
Greenwood, IN 46143-9604
Phone (317) 865-6829
Other providers in McCordsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.