Corydon Optical Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CORYDON OPTICAL INC

Practice address

2000 Edsel LN NW
Corydon, IN 47112-2168

Phone

(812) 738-1707

NPI assigned

Nov 28, 2017

Last updated

Mar 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fred A HigginsNPI 1285715730

Title

President

Phone

(812) 738-1707

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie S Didat, O.D.

  • Optometrist
  • Corydon, IN
  • NPI 1821179441
  Medicare reassignment NPD
• Fred Higgins

  • Durable Medical Equipment & Medical Supplies
  • Corydon, IN
  • NPI 1285715730
  NPD Authorized official
• Paul D Kelty, MD

  • Obstetrics & Gynecology Physician
  • Corydon, IN
  • NPI 1427158377
  NPD (past)

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1265946362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 EDSEL LN NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122168",
            "telephone_number": "812-738-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 EDSEL LN NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122168",
            "telephone_number": "812-738-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORYDON OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-738-1707"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlie Combs
• Constitution Elm Emergency Physicians LLC
• Coothbrush Inc
• Corydon Chiropractic Rehab & Wellness Center LLC
• Corydon Hearing Clinic LLC
• Corydon Pain Management Clinic Inc
• Corydon Recovery LLC (Hickory Treatment Center at Corydon)
• Counsel House LLC
• Crosscreek Dental, LLC (North Bridge Dental)
• Graydon B Cummins, M.D.

• Optometrist in Corydon, IN
• Providers in Corydon, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.