Individual provider Active NPI

Donald H Hulsey, OD

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1225173883
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002572A Issued in IN
Practice address
10610 N Pennsylvania St
Ste B
Indianapolis, IN 46280-2000
Phone
(317) 844-6269
Fax
(317) 815-7567
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002572A IN Primary

Addresses

Primary practice location

10610 N Pennsylvania St
Ste B
Indianapolis, IN 46280-2000

Mailing address

452 Macy Way
Greenwood, IN 46142-7483
Phone (317) 888-8508

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
I20111116000343 IN Practitioner - Optometry 2264606839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lanter Eyecare and Laser Surgery PCGroup PAC ID 7113906652, 5 clinicians

Practice addresses (Care Compare)

10610 N Pennsylvania St
Suite 102
Carmel, IN 46280-2000
Phone (317) 844-6269

Merit-based Incentive Payment System (MIPS)

Final score
97.84 of 100Reported as group
Quality
95.68
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002572AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lanter Eyecare and Laser Surgery PC Optometrist CurrentSince Jun 11, 1997 Accepting new patients

Locations

10610 N Pennsylvania St
Ste B
Carmel, IN 46280
Phone (317) 844-6269

10610 N Pennsylvania St
Ste 102
Carmel, IN 46280
Phone (317) 844-6269

747 E County Line Rd
Ste M
Greenwood, IN 46143
Phone (317) 844-6269

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225173883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 MACY WAY",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461427483",
            "telephone_number": "317-888-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10610 N PENNSYLVANIA ST",
            "address_2": "STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462802000",
            "telephone_number": "317-844-6269",
            "fax_number": "317-815-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSEY",
        "first_name": "DONALD",
        "middle_name": "H",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002572A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.