Active NPI
Jason Matthew Storms, O.D.
- Optometrist
- Muncie, IN
National Provider Identifier
1215215942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003686
- Practice address
- 4801 W Clara LN
Muncie, IN 47304 - Phone
- (765) 284-8460
- NPI assigned
- Jul 29, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18003686 | IN | Primary |
Addresses
Primary practice location
4801 W Clara LN
Muncie, IN 47304
Mailing address
4801 W Clara LN
Muncie, IN 47304-5548
Phone (765) 284-8460
Other practice location 1
4801 W Clara Ln
Muncie, IN 47304
Phone (765) 284-8460
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190924000330 | IN | Practitioner - Optometry | 9638342363 | Practice locations: Bedford, IN; Bloomington, IN; Muncie, IN |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3200 John Williams Blvd
Bedford, IN 47421-9153
Phone (812) 277-1275
4801 W Clara LN
Muncie, IN 47304-5548
Phone (765) 284-8460
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18003686 | IN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1215215942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 W CLARA LN",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473045548",
"telephone_number": "765-284-8460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 W CLARA LN",
"city": "MUNCIE",
"state": "IN",
"postal_code": "47304",
"telephone_number": "765-284-8460"
}
],
"practiceLocations": [
{
"address_1": "4801 W Clara Ln",
"address_purpose": "LOCATION",
"city": "Muncie",
"state": "IN",
"postal_code": "47304",
"country_code": "US",
"telephone_number": "765-284-8460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STORMS",
"first_name": "JASON",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-29",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.