Individual provider Active NPI

Natalie Eve Decook, OD

  • Optometrist
  • Bloomington, IN
National Provider Identifier
1356993844
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004180A Issued in IN
Practice address
744 E 3Rd St
Bloomington, IN 47405-3603
Phone
(812) 855-8436
NPI assigned
Jul 15, 2019
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004180A IN Primary

Addresses

Primary practice location

744 E 3Rd St
Bloomington, IN 47405-3603

Mailing address

744 E 3Rd St
Bloomington, IN 47405-3603

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
I20190724001002 IN Practitioner - Optometry 4789910043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plainfield Eye Care PCGroup PAC ID 2769512144, 4 clinicians

Practice addresses (Care Compare)

900 Edwards Dr
Plainfield, IN 46168-5680
Phone (317) 839-2368

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Optometrist CurrentSince Jul 15, 2019 Accepting new patients
Indiana University Optometrist Current Accepting new patients
Plainfield Eye Care PC Optometrist CurrentSince Aug 1, 2020 Accepting new patients
Indiana University CurrentSince Jul 15, 2019 Accepting new patients

Locations

744 E 3rd St
Bloomington, IN 47405
Phone (812) 855-8436

800 E Atwater Ave
#263
Bloomington, IN 47405

1160 W Michigan St
Ste 100
Indianapolis, IN 46202
Phone (317) 278-1470

900 Edwards Dr
Plainfield, IN 46168
Phone (317) 839-2368

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1356993844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 E 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474053603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 E 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474053603",
            "telephone_number": "812-855-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOOK",
        "first_name": "NATALIE",
        "middle_name": "EVE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004180A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.