Individual provider Active NPI

Liam James Ferguson

  • Optometrist
  • Highland, IN
National Provider Identifier
1194579482
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004533A Issued in IN
Practice address
8417 Kennedy Ave
Highland, IN 46322-1139
Phone
(219) 838-2020
NPI assigned
Apr 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004533A IN Primary

Addresses

Primary practice location

8417 Kennedy Ave
Highland, IN 46322-1139

Mailing address

8417 Kennedy Ave
Highland, IN 46322-1139
Phone (219) 838-2020

Other practice location 1

1820 E Columbus Dr
East Chicago, IN 46312-2826
Phone (219) 398-2020

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
I20240815000616 IN Practitioner - Optometry 3779021266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James D. Ferguson OD PCGroup PAC ID 2264645043, 2 clinicians

Practice addresses (Care Compare)

8417 Kennedy Ave
Highland, IN 46322-1139
Phone (219) 838-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
James D. Ferguson OD PC Optometrist CurrentSince Jul 17, 2024 Accepting new patients
James D. Ferguson OD PC PastSince Jul 17, 2024 Accepting new patients

Locations

1820 E Columbus Dr
East Chicago, IN 46312
Phone (219) 398-2020

8417 Kennedy Ave
Highland, IN 46322
Phone (219) 838-2020

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": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1194579482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8417 KENNEDY AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221139",
            "telephone_number": "219-838-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8417 KENNEDY AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221139",
            "telephone_number": "219-838-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 E Columbus Dr",
            "address_purpose": "LOCATION",
            "city": "East Chicago",
            "state": "IN",
            "postal_code": "463122826",
            "country_code": "US",
            "telephone_number": "219-398-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "LIAM",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004533A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

Verify at the official NPI Registry.