Individual provider Active NPI

Wynde Ashman, OD

  • Optometrist
  • Muncie, IN
National Provider Identifier
1447247580
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002985 Issued in IN
Practice address
4801 W Bethel Ave
Muncie, IN 47304
Phone
(765) 288-7744
Fax
(765) 282-0741
NPI assigned
Oct 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002985 IN Primary

Addresses

Primary practice location

4801 W Bethel Ave
Muncie, IN 47304

Mailing address

4801 W Bethel Ave
Muncie, IN 47304
Phone (765) 288-7744

Other identifiers 2

IdentifierTypeStateIssuer
200294930AMedicaidIN
0240890001OtherINDMERC

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
I20040715001062 IN Practitioner - Optometry 6709865538 Reassigns benefits to 1 organization
Practice locations: Muncie, IN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Care LLCGroup PAC ID 9335664226, 6 clinicians

Practice addresses (Care Compare)

4801 W Bethel Ave
Muncie, IN 47304-5510
Phone (765) 288-7744

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002985INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashman Optometry, LLC Optometrist Current Accepting new patients
Family Vision Care LLC Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Ashman Olinger Wilson & Klem Optometrist Past Accepting new patients
Still Waters Holdings PastSince Jul 1, 2006 Accepting new patients

Locations

4801 W Bethel Ave
Muncie, IN 47304
Phone (765) 288-7744

Organizations & group practices 4

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1447247580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "47304",
            "telephone_number": "765-288-7744",
            "fax_number": "765-282-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "47304",
            "telephone_number": "765-288-7744",
            "fax_number": "765-282-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHMAN",
        "first_name": "WYNDE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200294930A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0240890001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.