Individual provider Active NPI

Shawn P. Sigler, O.D.

  • Optometrist
  • Fishers, IN
National Provider Identifier
1467587998
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002432B Issued in IN
Practice address
9536 E 126TH St
Fishers, IN 46038-2854
Phone
(317) 578-2020
Fax
(317) 578-7148
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002432B IN Primary

Addresses

Primary practice location

9536 E 126TH St
Fishers, IN 46038-2854

Mailing address

9536 E 126TH St
Fishers, IN 46038-2854
Phone (317) 578-2020

Other identifiers 4

IdentifierTypeStateIssuer
351883917OtherINVISION SERVICE PLAN
351883917OtherINVISION CARE, INC.
IN2432OtherINEYEMED
200066230MedicaidIN

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
I20050420001406 IN Practitioner - Optometry 6406894377 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002432BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Mar 2, 2020 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Mar 2, 2020 Accepting new patients
Fishers Family Vision Center Inc Optometrist Past Accepting new patients
Barrett Eye Care, LLC Past Accepting new patients

Locations

11720 Olio Rd
Fishers, IN 46037
Phone (317) 570-2778

9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 5

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1467587998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9536 E 126TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382854",
            "telephone_number": "317-578-2020",
            "fax_number": "317-578-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9536 E 126TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382854",
            "telephone_number": "317-578-2020",
            "fax_number": "317-578-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGLER",
        "first_name": "SHAWN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002432B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "351883917",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION CARE, INC.",
            "identifier": "351883917",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "IN2432",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200066230",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.