Individual provider Active NPI

John Garry Mestel, O.D.

  • Optometrist
  • Clarksville, IN
National Provider Identifier
1457404790
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003066 Issued in IN
Practice address
757 E Lewis and Clark Pkwy
Clarksville, IN 47129-2269
Phone
(812) 288-8566
Fax
(812) 284-2326
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003066 IN Primary
Optometrist 152W00000X 1486DT KY

Addresses

Primary practice location

757 E Lewis and Clark Pkwy
Clarksville, IN 47129-2269

Mailing address

3810 Rainbow Dr
New Albany, IN 47150-2022
Phone (812) 945-3592

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
I20111128000222 IN Practitioner - Optometry 5799959946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Webb Family Eyecare of Indiana IncGroup PAC ID 9436460243, 4 clinicians

Practice addresses (Care Compare)

1570 Veterans Pkwy
Jeffersonville, IN 47130-7137
Phone (812) 288-8566

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003066INMDOptometrist
1486DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Polly Hendricks Optometrist Current Accepting new patients

Locations

757 E Lewis and Clark Pkwy
Clarksville, IN 47129
Phone (812) 288-6681

Organizations & group practices 2

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457404790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 RAINBOW DR",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502022",
            "telephone_number": "812-945-3592",
            "fax_number": "812-284-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 E LEWIS AND CLARK PKWY",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292269",
            "telephone_number": "812-288-8566",
            "fax_number": "812-284-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESTEL",
        "first_name": "JOHN",
        "middle_name": "GARRY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003066",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1486DT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, IN

Sources for this page

Verify at the official NPI Registry.