Individual provider Active NPI

David Lee Rich, OD

  • Optometrist
  • Richmond, IN
National Provider Identifier
1386697746
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003085 Issued in IN
Practice address
4523 National Rd E
Richmond, IN 47374-3731
Phone
(765) 962-3800
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT001956 GA
Optometrist 152W00000X 18003085 IN Primary

Addresses

Primary practice location

4523 National Rd E
Richmond, IN 47374-3731

Mailing address

4523 National Rd E
Richmond, IN 47374-3731
Phone (765) 962-3800

Other identifiers 1

IdentifierTypeStateIssuer
156200053AMedicaidGA

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
I20170928002364 IN Practitioner - Optometry 1759393820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Optical Co IncGroup PAC ID 5597668574, 49 clinicians

Practice addresses (Care Compare)

7321 W 10TH St
Dr Tavel Family Eye Care
Indianapolis, IN 46214-2515
Phone (317) 271-1319

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003085INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
City Optical Co., Inc. Optometrist Current Accepting new patients
City Optical Co., Inc. Optometrist CurrentSince Sep 19, 2017 Accepting new patients
City Optical Co., Inc. Optometrist CurrentSince Sep 19, 2017 Accepting new patients
City Optical Co., Inc. Optometrist Past Accepting new patients
Wca Companies, LLC Optometrist Past Accepting new patients
City Optical Co., Inc. Optometrist Past Accepting new patients
City Optical Co., Inc. Optometrist Past Accepting new patients
City Optical Co., Inc. Optometrist Past Accepting new patients
City Optical Co., Inc. Optometrist Past Accepting new patients

Locations

2839 Lafayette Rd
Indianapolis, IN 46222
Phone (317) 924-1300

7321 W 10th St
Indianapolis, IN 46214
Phone (317) 271-1319

2940 E 38th St
Ste B
Indianapolis, IN 46218
Phone (317) 559-2334

2835 Lafayette Rd
Indianapolis, IN 46222
Phone (317) 924-1300

4523 National Rd E
Richmond, IN 47374
Phone (765) 962-3800

Organizations & group practices 9

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1386697746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 NATIONAL RD E",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473743731",
            "telephone_number": "765-962-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4523 NATIONAL RD E",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473743731",
            "telephone_number": "765-962-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001956",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156200053A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.