Individual provider Active NPI

Mackenzie N Pulver, OD

  • Optometrist
  • Tipton, IN
National Provider Identifier
1194565473
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004491A Issued in IN
Practice address
132 N Main St
Tipton, IN 46072-1603
Phone
(765) 675-4244
NPI assigned
May 25, 2024
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004491B IN
Optometrist 152W00000X 18004491A IN Primary

Addresses

Primary practice location

132 N Main St
Tipton, IN 46072-1603

Mailing address

8890 E 116TH St Ste 190
Fishers, IN 46038-2857
Phone (317) 913-0700

Other names 1

  • Dr. Mackenzie N Martin Other name

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
I20241022001852 IN Practitioner - Optometry 7315479847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harper Family Eye Care LLCGroup PAC ID 3971845678, 2 clinicians

Practice addresses (Care Compare)

132 N Main St
Tipton, IN 46072-1603
Phone (765) 675-4244

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18004491BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Harper Family Eye Care LLC Optometrist CurrentSince Jun 1, 2025 Accepting new patients

Locations

132 N Main St
Tipton, IN 46072
Phone (765) 675-4244

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1194565473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8890 E 116TH ST STE 190",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382857",
            "telephone_number": "317-913-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 N MAIN ST",
            "city": "TIPTON",
            "state": "IN",
            "postal_code": "460721603",
            "telephone_number": "765-675-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULVER",
        "first_name": "MACKENZIE",
        "middle_name": "N",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-25",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004491B",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004491A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "MARTIN",
            "middle_name": "N",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tipton, IN

Sources for this page

Verify at the official NPI Registry.