Individual provider Active NPI

Elizabeth Ann Newman, O.D., M.P.H.

  • Optometrist
  • Bloomington, IN
National Provider Identifier
1366647976
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003452A Issued in IN
Practice address
1105 S College Mall Rd
Bloomington, IN 47401-6177
Phone
(812) 333-2020
Fax
(812) 334-2020
NPI assigned
Jun 15, 2007
Last updated
Apr 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 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 18003452A IN Primary

Addresses

Primary practice location

1105 S College Mall Rd
Bloomington, IN 47401-6177

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

4013 W North Wood Lake Dr
Columbus, IN 47201-8943
Phone (812) 375-4661

Other practice location 2

1033 Jackson St Ste C
Columbus, IN 47201-5779
Phone (812) 376-3068

Other names 1

  • Elizabeth Ann Simon Other name

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
I20071003000273 IN Practitioner - Optometry 2062507254 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Indiana LLCGroup PAC ID 5496091316, 82 clinicians

Practice addresses (Care Compare)

2901 S McIntire Dr
Suite 120
Bloomington, IN 47403-4209
Phone (812) 332-1401

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lisle Family Eye Care Inc Optometrist CurrentSince Mar 4, 2013 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Lisle Family Eye Care Inc Optometrist CurrentSince Mar 4, 2013 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Jan 4, 2021 Accepting new patients
Dr Linda a Frechette Inc. Optometrist CurrentSince Jan 28, 2014 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Jan 4, 2021 Accepting new patients
Lisle Family Eye Care Inc Optometrist Past Accepting new patients

Locations

1105 S College Mall Rd
Bloomington, IN 47401
Phone (812) 333-2020

2901 S McIntire Dr
Bloomington, IN 47403
Phone (812) 332-1401

2901 S McIntire Dr
Ste 120
Bloomington, IN 47403
Phone (812) 332-1401

4719 W State Road 46
Bloomington, IN 47404
Phone (812) 876-2020

1033 Jackson St
Ste C
Columbus, IN 47201
Phone (812) 376-3068

1130 Washington St
Columbus, IN 47201
Phone (812) 379-9893

9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200

951 N Main St
Franklin, IN 46131
Phone (317) 709-6682

2580 Michigan Rd
Ste 1
Madison, IN 47250
Phone (812) 352-6600

747 N State St
North Vernon, IN 47265
Phone (812) 346-8500

357 W Morgan St
Ste C
Spencer, IN 47460
Phone (812) 829-1254

405 Ferry St
Vevay, IN 47043
Phone (812) 427-2717

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 7

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1366647976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 S COLLEGE MALL RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474016177",
            "telephone_number": "812-333-2020",
            "fax_number": "812-334-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4013 W North Wood Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472018943",
            "country_code": "US",
            "telephone_number": "812-375-4661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1033 Jackson St Ste C",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472015779",
            "country_code": "US",
            "telephone_number": "812-376-3068",
            "fax_number": "812-376-6771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003452A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SIMON",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.