Individual provider Active NPI

Stacia A Meriano, O.D.

  • Optometrist
  • Fishers, IN
National Provider Identifier
1174641641
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002683B Issued in IN
Practice address
8300 East 96TH Street
Fishers, IN 46038
Phone
(317) 578-4340
Fax
(317) 578-4344
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002683B IN Primary

Addresses

Primary practice location

8300 East 96TH Street
Fishers, IN 46038

Mailing address

5785 Coopers Hawk Dr
Carmel, IN 46033-8940
Phone (317) 571-0924

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
I20240313003598 IN Practitioner - Optometry 9638515596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher R Prather Optometrist PCGroup PAC ID 6709108186, 3 clinicians

Practice addresses (Care Compare)

17736 Village Ctr Dr
Suite 102
Noblesville, IN 46062-7429
Phone (317) 804-1400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002683BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher R. Prather Optometrist PC Optometrist CurrentSince Feb 27, 2024 Accepting new patients
Meriano Family Eyecare P.C. Optometrist Past Accepting new patients

Locations

17736 Village Center Dr
#102
Noblesville, IN 46062
Phone (317) 804-1400

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174641641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5785 COOPERS HAWK DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338940",
            "telephone_number": "317-571-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 EAST 96TH STREET",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "46038",
            "telephone_number": "317-578-4340",
            "fax_number": "317-578-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIANO",
        "first_name": "STACIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002683B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.