Individual provider Active NPI

Linda A Venezia, O.D.

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1457615734
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003745A Issued in IN
Practice address
6985 W 38TH St
Suite 100
Indianapolis, IN 46254-3916
Phone
(317) 243-0028
Fax
(317) 243-0805
NPI assigned
Jul 1, 2012
Last updated
Sep 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003745A IN Primary

Addresses

Primary practice location

6985 W 38TH St
Suite 100
Indianapolis, IN 46254-3916

Mailing address

9795 Crosspoint Blvd
Suite 100
Indianapolis, IN 46256-3354
Phone (317) 254-6480

Other names 1

  • Dr. Linda A Adebisi Former name

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
I20120921000727 IN Practitioner - Optometry 6608024302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2141 Sagamore Pkwy S
Visionworks Doctors of Optometry
Lafayette, IN 47905-5109
Phone (765) 446-8010

9893 N Michigan Rd
Suite 100 Visionworks Doctors of Optometry
Carmel, IN 46032-7966
Phone (317) 872-3451

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003745AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
First Impressions Optometric Associates, LLC Optometrist CurrentSince Aug 19, 2023 Accepting new patients
Midwest Cornea Associates, LLC CurrentSince Feb 1, 2022 Accepting new patients
First Impressions Optometric Associates, LLC Optometrist CurrentSince Aug 19, 2023 Accepting new patients

Locations

10300 N Illinois St
Ste 1040
Carmel, IN 46290
Phone (317) 817-1765

1030 Veterans Pkwy
Clarksville, IN 47129
Phone (812) 282-2020

2141 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 446-8010

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1457615734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9795 CROSSPOINT BLVD",
            "address_2": "SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563354",
            "telephone_number": "317-254-6480",
            "fax_number": "317-259-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6985 W 38TH ST",
            "address_2": "SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543916",
            "telephone_number": "317-243-0028",
            "fax_number": "317-243-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEZIA",
        "first_name": "LINDA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-01",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003745A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "ADEBISI",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.