Individual provider Active NPI

Christopher David Emmons, O.D.

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1245469212
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003582 Issued in IN
Practice address
6020 E 82ND St
Indianapolis, IN 46250-4746
Phone
(317) 841-0712
NPI assigned
Jul 10, 2009
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003582 IN Primary

Addresses

Primary practice location

6020 E 82ND St
Indianapolis, IN 46250-4746

Mailing address

8025 E 82ND St
Indianapolis, IN 46256-3432
Phone (317) 989-4442

Other practice location 1

2415 Sagamore Pkwy S
Lafayette, IN 47905-5124
Phone (765) 448-1477

Other practice location 2

2007 E Greyhound Pass
Carmel, IN 46033-7808
Phone (317) 571-1508

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
I20140910002611 IN Practitioner - Optometry 3870766074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Michael Fagin , P.C. Optometrist Past Accepting new patients
Evans Eye Care Inc Optometrist PastSince Jun 1, 2011 Accepting new patients

Organizations & group practices 6

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": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245469212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 E 82ND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563432",
            "telephone_number": "317-989-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 E 82ND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504746",
            "telephone_number": "317-841-0712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2415 Sagamore Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479055124",
            "country_code": "US",
            "telephone_number": "765-448-1477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2007 E Greyhound Pass",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460337808",
            "country_code": "US",
            "telephone_number": "317-571-1508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMMONS",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.