Individual provider Active NPI

Brian T Walborn, O.D.

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1093870867
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003257 Issued in IN
Practice address
6002 E 38TH St
Indianapolis, IN 46226-5614
Phone
(317) 880-6002
Fax
(317) 880-0417
NPI assigned
Dec 22, 2006
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003257 IN Primary

Addresses

Primary practice location

6002 E 38TH St
Indianapolis, IN 46226-5614

Mailing address

PO Box 637764
Cincinnati, OH 45263-7764
Phone (317) 880-3939

Other practice location 1

3840 N Sherman Dr
Eskenazi Health Center Forest Mano
Indianapolis, IN 46226-4462
Phone (317) 541-3400

Other identifiers 1

IdentifierTypeStateIssuer
201307120MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bwalborn14813@direct.eskenazihealth.edu

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
I20041026000068 IN Practitioner - Optometry 8325009079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6940 Michigan Rd
Suite 140
Indianapolis, IN 46268-2800
Phone (317) 266-2901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5360OHMDClinical Child & Adolescent Psychologist
18003257INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Health and Hospital Corporation of Marion County Current Accepting new patients
Eskenazi Medical Group Inc CurrentSince Jul 1, 2015 Accepting new patients
The Health and Hospital Corporation of Marion County CurrentSince Aug 24, 2015 Accepting new patients
Ohio Vision of Toledo Inc Past Accepting new patients

Locations

1700 N Illinois St
Indianapolis, IN 46202
Phone (317) 554-5700

2505 N Arlington Ave
Indianapolis, IN 46218
Phone (317) 554-5200

2700 Martin Luther King Jr St
Indianapolis, IN 46208
Phone (317) 931-4300

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

3840 N Sherman Dr
Indianapolis, IN 46226
Phone (317) 541-3400

5515 W 38th St
Indianapolis, IN 46254
Phone (317) 880-3838

6002 E 38th St
Indianapolis, IN 46226
Phone (317) 880-0280

6940 Michigan Rd
Ste 140
Indianapolis, IN 46268
Phone (317) 266-2901

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

720 Eskenazi Ave
Bldg 5TH
Indianapolis, IN 46202
Phone (317) 880-3818

720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

9443 E 38th St
Indianapolis, IN 46235
Phone (317) 890-2100

Organizations & group practices 4

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1093870867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637764",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637764",
            "telephone_number": "317-880-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 E 38TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462265614",
            "telephone_number": "317-880-6002",
            "fax_number": "317-880-0417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3840 N Sherman Dr",
            "address_2": "Eskenazi Health Center Forest Mano",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462264462",
            "country_code": "US",
            "telephone_number": "317-541-3400",
            "fax_number": "317-541-3444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALBORN",
        "first_name": "BRIAN",
        "middle_name": "T",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201307120",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwalborn14813@direct.eskenazihealth.edu",
            "affiliation": "N",
            "address_1": "6002 E 38th St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462265614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.