Nicholas E. Bantz, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18004499A Issued in IN

Practice address

13840 E 96TH St
McCordsville, IN 46055-9394

Phone

(317) 720-2020

Fax

(317) 886-7955

NPI assigned

Jun 11, 2024

Last updated

Jun 11, 2024By 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

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Visionquest Eyecare PCGroup PAC ID 7517951353, 8 clinicians

First Impressions Optometric Associates, LLCGroup PAC ID 6800281825, 30 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• First Impressions Optometric Associates, LLC

  • Optometrist
  • Bloomington, IN
  • NPI 1083366363
  Medicare reassignment Care Compare group NPD
• Visionquest Eyecare, PC

  • Optometrist
  • Greenwood, IN
  • NPI 1013015429
  Medicare reassignment Care Compare group NPD
• First Impressions Optometric Associates, LLC

  • Eyewear Supplier
  • Highland, IN
  • NPI 1942960539

  Optometrist

  NPD
• First Impressions Optometric Associates, LLC

  • Eyewear Supplier
  • Lafayette, IN
  • NPI 1134889728

  Optometrist

  NPD (past)
• First Impressions Optometric Associates, LLC

  • Eyewear Supplier
  • Avon, IN
  • NPI 1205596996

  Optometrist

  NPD (past)
• First Impressions Optometric Associates, LLC

  • Eyewear Supplier
  • Fishers, IN
  • NPI 1457011041

  Optometrist

  NPD (past)
• First Impressions Optometric Associates, LLC

  • Eyewear Supplier
  • Carmel, IN
  • NPI 1467112052

  Optometrist

  NPD (past)
• First Impressions Optometric Associates, LLC

  • Eyewear Supplier
  • Carmel, IN
  • NPI 1659031243

  Optometrist

  NPD (past)
• First Impressions Optometric Associates, LLC

  • Eyewear Supplier
  • Terre Haute, IN
  • NPI 1699435289

  Optometrist

  NPD (past)
• First Impressions Optometric Associates, LLC

  • Eyewear Supplier
  • Greenwood, IN
  • NPI 1730849324

  Optometrist

  NPD (past)
• First Impressions Optometric Associates, LLC

  • Eyewear Supplier
  • Indianapolis, IN
  • NPI 1841950433

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1063254829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2887 S STATE ROAD 135",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461439604",
            "telephone_number": "317-865-6829",
            "fax_number": "317-886-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13840 E 96TH ST",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "460559394",
            "telephone_number": "317-720-2020",
            "fax_number": "317-886-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANTZ",
        "first_name": "NICHOLAS",
        "middle_name": "E.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004499A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Gilbert Aguilar, MD
• Esther Anderson
• Audrey Anne Augustinovicz, RN
• Grace Oluwasade Awodele
• Nalini A Bangalore, MD
• Nichole Barnard, PHARMD
• Jacquelyn D Bego
• Boost at Home LLC
• April Brake
• Gregory Briggs, RPH

• Optometrist in McCordsville, IN
• Providers in McCordsville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.