Individual provider Active NPI

Paige E Fleckenstein, O.D.

  • Corneal and Contact Management Optometrist
  • Greenwood, IN
National Provider Identifier
1376606780
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
18002978A Issued in IN
Practice address
1251 US 31 N
Greenwood, IN 46142
Phone
(317) 887-2732
Fax
(317) 887-1553
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 18002978A IN Primary
Pediatric Optometrist 152WP0200X 18002978A IN
Sports Vision Optometrist 152WS0006X 18002978A IN
Occupational Vision Optometrist 152WX0102X 18002978A IN

Addresses

Primary practice location

1251 US 31 N
Greenwood, IN 46142

Mailing address

1251 US 31 N
Greenwood, IN 46142
Phone (317) 887-2732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002978AINMDSports Vision Optometrist

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1376606780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 US 31 N",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "46142",
            "telephone_number": "317-887-2732",
            "fax_number": "317-887-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 US 31 N",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "46142",
            "telephone_number": "317-887-2732",
            "fax_number": "317-887-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLECKENSTEIN",
        "first_name": "PAIGE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IN",
            "license": "18002978A",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "IN",
            "license": "18002978A",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "IN",
            "license": "18002978A",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "IN",
            "license": "18002978A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.