Individual provider Active NPI

Richard Lawrence Hemingway, O. D.

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1114076841
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002591B Issued in IN
Practice address
9302 N Meridian St
Suite 150
Indianapolis, IN 46260-1873
Phone
(317) 848-8879
Fax
(317) 848-7976
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002591B IN Primary

Addresses

Primary practice location

9302 N Meridian St
Suite 150
Indianapolis, IN 46260-1873

Mailing address

9302 N Meridian St
Suite 150
Indianapolis, IN 46260-1873
Phone (317) 848-8879

Other identifiers 1

IdentifierTypeStateIssuer
200500510MedicaidIN

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
I20090923000656 IN Practitioner - Optometry 0244386845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9302 N Meridian St
Suite 150
Indianapolis, IN 46260-1841
Phone (317) 848-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyeq Optometry P. C. Optometrist CurrentSince Sep 15, 2009 Accepting new patients
Gary S Glenn OD PC Optometrist Past Accepting new patients

Locations

9302 N Meridian St
Ste 150
Indianapolis, IN 46260
Phone (317) 848-4444

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1114076841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9302 N MERIDIAN ST",
            "address_2": "SUITE 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601873",
            "telephone_number": "317-848-8879",
            "fax_number": "317-848-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9302 N MERIDIAN ST",
            "address_2": "SUITE 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601873",
            "telephone_number": "317-848-8879",
            "fax_number": "317-848-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMINGWAY",
        "first_name": "RICHARD",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002591B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200500510",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.