Organization Active NPI

Hetzler Ocular Prosthetics, Inc

  • Customized Equipment (DME)
  • Fishers, IN
National Provider Identifier
1184692220
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
HETZLER OCULAR PROSTHETICS, INC
Practice address
10173 Allisonville Rd Ste 200
Fishers, IN 46038-2081
Phone
(317) 598-6298
Fax
(317) 598-6296
NPI assigned
Mar 14, 2006
Last updated
Feb 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Christine Ocular Prosthetics Rumschlag
Title
Billing/Insurance Coordiantor
Phone
(317) 598-6299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

10173 Allisonville Rd Ste 200
Fishers, IN 46038-2081

Mailing address

10173 Allisonville Rd Ste 200
Fishers, IN 46038-2081
Phone (317) 598-6298

Other identifiers 2

IdentifierTypeStateIssuer
000000189172OtherINANTHEM
100178200MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930092125 IN DME Supplier - Ocularist 0244357804 Practice locations: Fishers, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hetzler Ocular Prosthesis10173 Allisonville Rd, Fishers, IN 46038-2081(317) 598-6299 Ocular Prostheses Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Hetzler Ocular Prosthet2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8202 Clearvista Pkwy
Ste 2D
Indianapolis, IN 46256
Phone (317) 639-6535

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1184692220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10173 ALLISONVILLE RD STE 200",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382081",
            "telephone_number": "317-598-6298",
            "fax_number": "317-598-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10173 ALLISONVILLE RD STE 200",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382081",
            "telephone_number": "317-598-6298",
            "fax_number": "317-598-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HETZLER OCULAR PROSTHETICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "RUMSCHLAG",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "OCULAR PROSTHETICS",
        "authorized_official_title_or_position": "BILLING/INSURANCE COORDIANTOR",
        "authorized_official_telephone_number": "317-598-6299"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000189172",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100178200",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.