Organization Active NPI

Indianapolis Ophthalmology PC

  • Eyewear Supplier
  • Carmel, IN
National Provider Identifier
1336257542
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
INDIANAPOLIS OPHTHALMOLOGY PC
Practice address
1320 City Center Dr Ste 150
Carmel, IN 46032-3104
Phone
(317) 846-4223
Fax
(317) 846-6063
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Mrs. Kathleen A Dilts
Title
Business Manager
Phone
(317) 819-0742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1320 City Center Dr Ste 150
Carmel, IN 46032-3104

Mailing address

1320 City Center Dr Ste 150
Carmel, IN 46032-3104
Phone (317) 846-4223

Other identifiers 1

IdentifierTypeStateIssuer
100056740MedicaidIN

Other names 1

  • Abrams EyeCare Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050208000292 IN Part B Supplier - Clinic/Group Practice 9335190354 Receives reassigned benefits from 9 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carmel, IN; Indianapolis, IN

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

6920 Parkdale Pl
Ste 206
Indianapolis, IN 46254
Phone (317) 293-1420

3850 Shore Dr
Ste 100
Indianapolis, IN 46254
Phone (317) 293-1420

2060 N Shadeland Ave
Ste 210
Indianapolis, IN 46219
Phone (317) 245-4005

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1336257542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 CITY CENTER DR STE 150",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323104",
            "telephone_number": "317-846-4223",
            "fax_number": "317-846-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CITY CENTER DR STE 150",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323104",
            "telephone_number": "317-846-4223",
            "fax_number": "317-846-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANAPOLIS OPHTHALMOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "DILTS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "317-819-0742",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100056740",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abrams EyeCare Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Abrams EyeCare Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.