Individual provider Active NPI

Kasey Stolle, OD

  • Optometrist
  • Greenfield, IN
National Provider Identifier
1215420294
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004091A Issued in IN
Practice address
740 W Green Meadows Dr Ste 300
Greenfield, IN 46140-3098
Phone
(317) 477-3937
Fax
(317) 477-3939
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 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 18004091A IN Primary

Addresses

Primary practice location

740 W Green Meadows Dr Ste 300
Greenfield, IN 46140-3098

Mailing address

740 W Green Meadows Dr Ste 300
Greenfield, IN 46140-3098
Phone (317) 477-3937

Other practice location 1

522 N Eastern Ave
Connersville, IN 47331-1935
Phone (765) 825-4127

Other practice location 2

305 Main St
Brookville, IN 47012-1363
Phone (765) 547-1325

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
I20180625002813 IN Practitioner - Optometry 0042565533 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Indiana Professional PCGroup PAC ID 2365826179, 30 clinicians

Practice addresses (Care Compare)

1500 Washington St
Preferred Eye Care New Castle
New Castle, IN 47362-4355
Phone (765) 304-0337

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
K Andrew Yaryan OD LLC Optometrist CurrentSince Jul 9, 2018 Accepting new patients
Aeg Indiana Professional PC Optometrist CurrentSince Oct 13, 2024 Accepting new patients
Dr Tabitha G Temple PC Optometrist PastSince Jul 16, 2007 Accepting new patients

Locations

305 Main St
Brookville, IN 47012
Phone (765) 252-0643

522 N Eastern Ave
Connersville, IN 47331
Phone (765) 233-4621

1500 Washington St
New Castle, IN 47362
Phone (317) 529-9364

2250 N Pointe Dr
Warsaw, IN 46582
Phone (574) 267-3515

Organizations & group practices 4

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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1215420294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 W GREEN MEADOWS DR STE 300",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403098",
            "telephone_number": "317-477-3937",
            "fax_number": "317-477-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 W GREEN MEADOWS DR STE 300",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403098",
            "telephone_number": "317-477-3937",
            "fax_number": "317-477-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 N Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Connersville",
            "state": "IN",
            "postal_code": "473311935",
            "country_code": "US",
            "telephone_number": "765-825-4127",
            "fax_number": "765-827-6577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Main St",
            "address_purpose": "LOCATION",
            "city": "Brookville",
            "state": "IN",
            "postal_code": "470121363",
            "country_code": "US",
            "telephone_number": "765-547-1325",
            "fax_number": "765-547-1327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLLE",
        "first_name": "KASEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004091A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.