Individual provider Active NPI

Lyle W Amrhein, O.D.

  • Optometrist
  • Cambridge City, IN
National Provider Identifier
1316925670
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002031 Issued in IN
Practice address
3 Parkview CT
Cambridge City, IN 47327-1149
Phone
(765) 478-3717
NPI assigned
Jan 6, 2006
Last updated
Mar 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002031 IN Primary

Addresses

Primary practice location

3 Parkview CT
Cambridge City, IN 47327-1149

Mailing address

3 Parkview CT
Cambridge City, IN 47327-1149
Phone (765) 478-3717

Other identifiers 1

IdentifierTypeStateIssuer
100256550MedicaidIN

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
I20101130000579 IN Practitioner - Optometry 5294840138 Practice locations: Cambridge City, IN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002031INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Hospitals and Clinics Authority CurrentSince Sep 22, 2000 Accepting new patients
Major Hospital Past Accepting new patients

Organizations & group practices 2

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1316925670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PARKVIEW CT",
            "city": "CAMBRIDGE CITY",
            "state": "IN",
            "postal_code": "473271149",
            "telephone_number": "765-478-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PARKVIEW CT",
            "city": "CAMBRIDGE CITY",
            "state": "IN",
            "postal_code": "473271149",
            "telephone_number": "765-478-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMRHEIN",
        "first_name": "LYLE",
        "middle_name": "W",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100256550",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge City, IN

Sources for this page

Verify at the official NPI Registry.