Individual provider Active NPI

Geoff Scott Butorac, O.D.

  • Optometrist
  • Plainfield, IN
National Provider Identifier
1366798100
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003757A Issued in IN
Practice address
2245 E Main St
Ste 100
Plainfield, IN 46168-2786
Phone
(317) 837-7800
Fax
(317) 837-7810
NPI assigned
Jul 31, 2012
Last updated
May 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003757A IN Primary

Addresses

Primary practice location

2245 E Main St
Ste 100
Plainfield, IN 46168-2786

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20121226000420 IN Practitioner - Optometry 8022261064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2012
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)

2245 E Main St
Suite 100
Plainfield, IN 46168-2787
Phone (317) 837-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Dec 31, 2018 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Dec 31, 2018 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Eyecare Indiana II, P.C. Optometrist Past Accepting new patients

Locations

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

980 Averitt Rd
Greenwood, IN 46143
Phone (317) 881-4143

804 Broad Ripple Ave
Indianapolis, IN 46220
Phone (317) 257-5421

2245 E Main St
Ste 100
Plainfield, IN 46168
Phone (317) 837-7800

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

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": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1366798100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 E MAIN ST",
            "address_2": "STE 100",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682786",
            "telephone_number": "317-837-7800",
            "fax_number": "317-837-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTORAC",
        "first_name": "GEOFF",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003757A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

Verify at the official NPI Registry.