Individual provider Active NPI

Terry N Null, OD

  • Optometrist
  • McCordsville, IN
National Provider Identifier
1114025665
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002112A Issued in IN
Practice address
13840 E 96TH St
McCordsville, IN 46055-9394
Phone
(317) 720-2020
Fax
(317) 458-1594
NPI assigned
Sep 20, 2006
Last updated
May 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 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 18002112A IN Primary

Addresses

Primary practice location

13840 E 96TH St
McCordsville, IN 46055-9394

Mailing address

13840 E 96TH St
McCordsville, IN 46055-9394
Phone (317) 720-2020

Other practice location 1

2887 S State Road 135
Greenwood, IN 46143-9604
Phone (317) 865-6829

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
I20050707000585 IN Practitioner - Optometry 0941246326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visionquest Eyecare PCGroup PAC ID 7517951353, 8 clinicians

Practice addresses (Care Compare)

2887 S State Rd
Suite 135
Greenwood, IN 46143-9604
Phone (317) 865-6829

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002112AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionquest Eyecare, PC Optometrist Current Accepting new patients

Locations

1160 N State Road 135
#A
Greenwood, IN 46142
Phone (317) 865-6829

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, 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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1114025665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13840 E 96TH ST",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "460559394",
            "telephone_number": "317-720-2020",
            "fax_number": "317-458-1594"
        },
        {
            "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": "317-458-1594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2887 S State Road 135",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461439604",
            "country_code": "US",
            "telephone_number": "317-865-6829",
            "fax_number": "317-886-7955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NULL",
        "first_name": "TERRY",
        "middle_name": "N",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002112A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McCordsville, IN

Sources for this page

Verify at the official NPI Registry.