Jerrell S. Simmerman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002063B Issued in IN

Practice address

301 E Carmel Dr
Building F, Suite 300
Carmel, IN 46032-2888

Phone

(317) 848-4041

NPI assigned

Feb 8, 2007

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

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Association of Family Optometrists,PC

  • Optometrist
  • Carmel, IN
  • NPI 1225206113
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1083754741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 MEDICAL CT",
            "address_2": "STE C",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324833",
            "telephone_number": "317-848-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CARMEL DR",
            "address_2": "BUILDING F, SUITE 300",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322888",
            "telephone_number": "317-848-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMERMAN",
        "first_name": "JERRELL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002063B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Silien
• Silver Door Spa Inc
• Silver Maple Psychology, LLC
• Sim-1 Inspired Home Care Solutions
• Megan Simcox, PTA, ATC/LAT
• Bree Eiden Simmons, MD
• Whitney M Simmons, FNP-C
• Marcy Janae Simpson, MD
• Margaret Jane Simpson, M.S.,CCC-SLP
• Mary Elizabeth Simpson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.