Individual provider Active NPI

Jessica Irene Arnot, OD

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1336879485
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004329A Issued in IN
Practice address
6151 N Keystone Ave Ste 800
Indianapolis, IN 46220-1484
Phone
(317) 259-7552
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004329A IN Primary

Addresses

Primary practice location

6151 N Keystone Ave Ste 800
Indianapolis, IN 46220-1484

Mailing address

616 N Tacoma Ave
Indianapolis, IN 46201-2147

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
I20241213000627 IN Practitioner - Optometry 3072049014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ovitsky Vision Care of Indiana PCGroup PAC ID 3779830278, 3 clinicians

Practice addresses (Care Compare)

1532 Calumet Ave
Dyer, IN 46311-1588
Phone (773) 588-3090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ovitsky Vision Care of Indiana PC Optometrist CurrentSince Dec 2, 2024 Accepting new patients

Locations

3500 W Peterson Ave
Ste 401
Chicago, IL 60659

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1336879485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N TACOMA AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462012147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 N KEYSTONE AVE STE 800",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201484",
            "telephone_number": "317-259-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOT",
        "first_name": "JESSICA",
        "middle_name": "IRENE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004329A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.