Jeffrey D. Perotti, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002902 Issued in IN

Practice address

800 E Atwater Ave
Bloomington, IN 47405-3635

Phone

(812) 855-4447

NPI assigned

Mar 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indiana UniversityGroup PAC ID 6002806957, 64 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.

• Indiana University

  • Optometrist
  • Indianapolis, IN
  • NPI 1497799787
  Medicare reassignment Care Compare group NPD
• Indiana University

  • Optometrist
  • Bloomington, IN
  • NPI 1174566921
  NPD
• Indiana University

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1689790552
  NPD

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1174592992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E ATWATER AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474053635",
            "telephone_number": "812-855-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E ATWATER AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474053635",
            "telephone_number": "812-855-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEROTTI",
        "first_name": "JEFFREY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200456160",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Perin, RBT
• Periodontal Associates of Bloomington
• Peripheral Vascular Care
• Avis Kathleen Perkins, PHARMD
• Grace Perkins
• Laura Verwilst Perron, OD
• Ian Perrotte
• Amali Perry
• Heather Perry, CTRS
• Molly Kestler Perry, LMHC

• Optometrist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.