Individual provider Active NPI

Elizabeth D Allspaw, O.D.

  • Optometrist
  • Avon, IN
National Provider Identifier
1073741849
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003601A Issued in IN
Practice address
8111 E US Highway 36
Avon, IN 46123
Phone
(317) 707-6165
Fax
(307) 707-6417
NPI assigned
Jun 30, 2009
Last updated
Apr 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003601A IN Primary

Addresses

Primary practice location

8111 E US Highway 36
Avon, IN 46123

Mailing address

8111 E US Highway 36
Avon, IN 46123-7964
Phone (317) 707-6165

Other practice location 1

8111 E US Highway 36
Avon, IN 46123
Phone (317) 997-7531

Other identifiers 1

IdentifierTypeStateIssuer
200949590MedicaidIN

Other names 1

  • Dr. Elizabeth D Jones Former name

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
I20090826000295 IN Practitioner - Optometry 7810042967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8111 E US Hwy 36
Avon, IN 46123-7964
Phone (317) 707-6165

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bright View Family Vision, P.C. Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Valley Optical, Inc. Optometrist Past Accepting new patients
Eyecare Indiana II, P.C. Optometrist Past Accepting new patients
Jennifer L. Heil, O.D., P.C. Optometrist PastSince Jan 28, 2024 Accepting new patients
Jeremy Ciano, PC Optometrist PastSince May 25, 2014 Accepting new patients

Locations

8111 E US Highway 36
Avon, IN 46123
Phone (317) 707-6165

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1073741849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237964",
            "telephone_number": "317-707-6165",
            "fax_number": "317-707-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "46123",
            "telephone_number": "317-707-6165",
            "fax_number": "307-707-6417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8111 E US Highway 36",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "46123",
            "country_code": "US",
            "telephone_number": "317-997-7531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLSPAW",
        "first_name": "ELIZABETH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003601A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200949590",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "JONES",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.