Individual provider Active NPI

Madalyn Rose Thorp, OD

  • Optometrist
  • Angola, IN
National Provider Identifier
1386489870
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004520A Issued in IN
Practice address
712 Cameron Woods Dr
Angola, IN 46703-8816
Phone
(260) 665-3240
Fax
(260) 668-7953
NPI assigned
Jun 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004520A IN Primary

Addresses

Primary practice location

712 Cameron Woods Dr
Angola, IN 46703-8816

Mailing address

1226 Turnberry LN
Auburn, IN 46706-9486
Phone (419) 508-4112

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
I20240724000870 IN Practitioner - Optometry 5698211860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Eye Consultants PCGroup PAC ID 2961399217, 71 clinicians

Practice addresses (Care Compare)

712 Cameron Woods Dr
Angola, IN 46703-8816
Phone (260) 665-3240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Consultants, P.C. Current Accepting new patients
Midwest Eye Consultants, PC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Midwest Eye Consultants, P.C. Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients

Locations

712 Cameron Woods Dr
Angola, IN 46703
Phone (260) 665-3240

750 N Grandstaff Dr
Auburn, IN 46706
Phone (260) 925-3116

825 N Lincoln St
#12
Greensburg, IN 47240
Phone (812) 663-7222

301 J St
Laporte, IN 46350
Phone (219) 326-9569

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1386489870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 TURNBERRY LN",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467069486",
            "telephone_number": "419-508-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 CAMERON WOODS DR",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467038816",
            "telephone_number": "260-665-3240",
            "fax_number": "260-668-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORP",
        "first_name": "MADALYN",
        "middle_name": "ROSE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004520A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Angola, IN

Sources for this page

Verify at the official NPI Registry.