Fall Creek Visionaries, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003321B Issued in IN

Legal business name

FALL CREEK VISIONARIES, LLC

Practice address

11848 Olio Rd
Ste 300
Fishers, IN 46037-9189

Phone

(317) 570-8100

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kevin D. Smith, O.D.NPI 1891735932

Title

Owner

Phone

(317) 501-7872

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 3

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

• Kevin D Smith, O.D.

  • Optometrist
  • Fishers, IN
  • NPI 1891735932
  Medicare reassignment Care Compare group Authorized official
• Kari E Riina, O.D.

  • Optometrist
  • Fishers, IN
  • NPI 1043375892
  Medicare reassignment Care Compare group
• Tony Shaun Wagler, O,D.

  • Optometrist
  • Anderson, IN
  • NPI 1295851889
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1376600882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11848 OLIO RD",
            "address_2": "STE 300",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11848 OLIO RD",
            "address_2": "STE 300",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379189",
            "telephone_number": "317-570-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALL CREEK VISIONARIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-501-7872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003321B",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IN",
            "license": "18003321B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hunter Fairholm
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• Gabriella Faitele
• Fall Creek Chiropractic LLC
• Fall Creek Dentistry, PC
• Meredith Faller, M.D.
• Family Care Chiropractic of Indiana, PC
• Family First Early Intervention LLC
• Nabeel N Farooqui, M.D.
• Carol D. Farr, M.D.

• Optometrist in Fishers, IN
• Providers in Fishers, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.