Individual provider Active NPI

Carol L Hickey, OD

  • Optometrist
  • Salem, IN
National Provider Identifier
1285610741
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003343 Issued in IN
Practice address
600 S Main St
Salem, IN 47167-1040
Phone
(812) 883-2700
Fax
(812) 883-2752
NPI assigned
Dec 16, 2005
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1778DT KY
Optometrist 152W00000X 18003343 IN Primary

Addresses

Primary practice location

600 S Main St
Salem, IN 47167-1040

Mailing address

600 S Main St
Salem, IN 47167-1040
Phone (812) 883-2700

Other identifiers 4

IdentifierTypeStateIssuer
000000624031OtherINBCBS
000000624031OtherKYBCBS
200502740MedicaidIN
7100100650MedicaidKY

Other names 1

  • Carol L Irelan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090903000648 KY Practitioner - Optometry 7911052543 Reassigns benefits to 1 organization
I20090917000726 IN Practitioner - Optometry 7911052543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 S Main St
Vision First
Salem, IN 47167-1040
Phone (812) 883-2700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1778DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Optometric Centers III, PSC Optometrist CurrentSince Jul 1, 2011 Accepting new patients
Louisville Optometric Centers III, PSC CurrentSince Jul 1, 2011 Accepting new patients
Louisville Optometric Centers, III PSC Optometrist Past Accepting new patients
Louisville Optometric Centers, III PSC Optometrist Past Accepting new patients

Locations

4326 Charlestown Rd
New Albany, IN 47150
Phone (812) 945-0023

4326 Charlestown Rd
#2
New Albany, IN 47150
Phone (812) 945-0023

600 S Main St
Salem, IN 47167
Phone (812) 883-2700

285 N Hubbards Ln
Ste 300
Louisville, KY 40207
Phone (502) 454-9122

4000 Poplar Level Rd
Louisville, KY 40213
Phone (502) 456-1004

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, 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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1285610741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471671040",
            "telephone_number": "812-883-2700",
            "fax_number": "812-883-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471671040",
            "telephone_number": "812-883-2700",
            "fax_number": "812-883-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "CAROL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1778DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000624031",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000624031",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200502740",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100100650",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "IRELAN",
            "middle_name": "L",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, IN

Sources for this page

Verify at the official NPI Registry.