Active NPI
Marcia J Monroe, O.D.
- Optometrist
- Seymour, IN
National Provider Identifier
1073637815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002155B
- Practice address
- 915 W Brown St
Seymour, IN 47274-2715 - Phone
- (812) 522-8777
- Fax
- (812) 524-0042
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002155B | IN | Primary |
| Occupational Vision Optometrist | 152WX0102X | 18002155B | IN | |
| Corneal and Contact Management Optometrist | 152WC0802X | 18002155A | IN | |
| Pediatric Optometrist | 152WP0200X | 18002155B | IN | |
| Sports Vision Optometrist | 152WS0006X | 18002155A | IN | |
| Vision Therapy Optometrist | 152WV0400X | 18002155B | IN |
Addresses
Primary practice location
915 W Brown St
Seymour, IN 47274-2715
Mailing address
915 W Brown St
Seymour, IN 47274-2715
Phone (812) 525-5227
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100232590 | Medicaid | IN | |
| 200390280 | Other | IN | GROUP MEDICAID NUMBER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
915 W Brown St
Seymour, IN 47274-2715
Phone (812) 522-8777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002155B | IN | MD | Pediatric Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcia J. Monroe,O.D.,Inc | Optometrist | Current | Accepting new patients |
| Klaas Medical | Past | Accepting new patients |
Locations
114 Executive Dr
Ste C
Lafayette, IN 47905
Phone (765) 442-1775
915 W Brown St
Seymour, IN 47274
Phone (317) 692-1249
Organizations & group practices 2
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.
-
- Optometrist
- Seymour, IN
- NPI 1346422474
-
- Ophthalmology Physician
- Indianapolis, IN
- NPI 1932805405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1073637815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 W BROWN ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742715",
"telephone_number": "812-525-5227",
"fax_number": "812-524-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 W BROWN ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742715",
"telephone_number": "812-522-8777",
"fax_number": "812-524-0042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONROE",
"first_name": "MARCIA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002155B",
"primary": true
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "IN",
"license": "18002155B",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "IN",
"license": "18002155A",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "IN",
"license": "18002155B",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "IN",
"license": "18002155A",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "IN",
"license": "18002155B",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100232590",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID NUMBER",
"identifier": "200390280",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.