Michael L. Fagin, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

18002571B Issued in IN

Practice address

2007 E Greyhound Pass Ste 4
Carmel, IN 46033-7753

Phone

(317) 815-8302

Fax

(317) 815-8305

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1427147669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13753 STONE DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329412",
            "telephone_number": "317-574-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 E GREYHOUND PASS STE 4",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337753",
            "telephone_number": "317-815-8302",
            "fax_number": "317-815-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGIN",
        "first_name": "MICHAEL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002571A",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IN",
            "license": "18002571B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "18002571",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Eyster
• Ez Dental and Dentures
• Jeanne Ezell
• Sabrina Fabara, DO
• Maria Facadio Antero, MD
• Lauren D Fahey, PA-C
• Christina Falink, LCSW
• Corey Falink, LMHC
• Family and Alternative Wellness
• Family Medicine of Indiana

• Corneal and Contact Management Optometrist in Carmel, IN
• Providers in Carmel, IN by specialty
• Corneal and Contact Management Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.