Ali E Prible, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18004194A Issued in IN

Practice address

3409 N Anthony Blvd
Fort Wayne, IN 46805-2233

Phone

(260) 484-2691

Fax

(260) 484-0616

NPI assigned

Oct 9, 2019

Sex

Female

Sole proprietor

Yes

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

Indiana University - School of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Associates Group, LLCGroup PAC ID 1850470360, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Eye Associates Group, LLC

  • Optometrist
  • Hartford City, IN
  • NPI 1649324831
  Medicare reassignment Care Compare group NPD
• Frey Vision Group of Indiana Inc

  • Optometrist
  • Fort Wayne, IN
  • NPI 1699109256
  Medicare reassignment NPD
• Longe Enterprises Corp

  • Eyewear Supplier
  • Fort Wayne, IN
  • NPI 1083294532
  NPD (past)

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1114569225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 N ANTHONY BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468052233",
            "telephone_number": "765-499-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 N ANTHONY BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468052233",
            "telephone_number": "260-484-2691",
            "fax_number": "260-484-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIBLE",
        "first_name": "ALI",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004194A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Michelle Preston
• Christina Suzanne Preusz, MD
• Prevail Prosthetics and Orthotics
• Prevail Prosthetics and Orthotics, Inc
• Previnci, Inc.
• Megan Price-Lundy
• Brittani Price
• Carrie B Price, NP
• Jenniffer Lee Price, NP
• Nichol K. Price, FNP-C

• Optometrist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.