Individual provider Active NPI

Vibhuti Prian Jani

  • Optometrist
  • Greenwood, IN
National Provider Identifier
1154920049
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004246A Issued in IN
Practice address
745 N US Highway 31 N Ste D
Greenwood, IN 46142-2409
Phone
(317) 859-9397
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 18004246A IN
Optometrist 152W00000X 18004246A IN Primary

Addresses

Primary practice location

745 N US Highway 31 N Ste D
Greenwood, IN 46142-2409

Mailing address

745 N US Highway 31 N Ste D
Greenwood, IN 46142-2409
Phone (317) 859-0129

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
I20230724000694 IN Practitioner - Optometry 3779943311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9774 E US Hwy 36
Suite C
Avon, IN 46123-7979
Phone (317) 242-9111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Illuminate Eye Care LLC Optometrist CurrentSince May 22, 2023 Accepting new patients
America'S Best Contacts & Eyeglasses PastSince Oct 25, 2020 Accepting new patients

Locations

9774 E US Highway 36
Ste C
Avon, IN 46123
Phone (317) 242-9111

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": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1154920049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 N US HIGHWAY 31 N STE D",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461422409",
            "telephone_number": "317-859-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 N US HIGHWAY 31 N STE D",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461422409",
            "telephone_number": "317-859-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANI",
        "first_name": "VIBHUTI",
        "middle_name": "PRIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "18004246A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004246A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.