Individual provider Active NPI

Nicole Hanish, OD

  • Optometrist
  • Anderson, IN
National Provider Identifier
1467927392
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011370 Issued in IL
Practice address
1537 S Scatterfield Rd Ste B
Anderson, IN 46016-5783
Phone
(765) 649-1200
Fax
(765) 649-4040
NPI assigned
Oct 8, 2018
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011370 IL Primary
Optometrist 152W00000X 18004133A IN

Addresses

Primary practice location

1537 S Scatterfield Rd Ste B
Anderson, IN 46016-5783

Mailing address

1200 W Deyoung St
Marion, IL 62959-4437
Phone (618) 993-5686

Other practice location 1

1429 Shelby St
Indianapolis, IN 46203-1946
Phone (317) 737-2145

Other practice location 2

101 E Main St
Fairfield, IL 62837-2027
Phone (618) 842-3228

Other identifiers 1

IdentifierTypeStateIssuer
046011370MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181127001591 IN Practitioner - Optometry 4183968472 Reassigns benefits to 2 organizations
I20190912001864 IL Practitioner - Optometry 4183968472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Marion Eye Centers LTDGroup PAC ID 3072426774, 38 clinicians
Keen Eyecare Consultants IncGroup PAC ID 0749458453, 3 clinicians

Practice addresses (Care Compare)

1201 W Main St
Carmi, IL 62821-1388
Phone (618) 384-5112

6436 E Florida St
Suite 102
Evansville, IN 47715-2808
Phone (812) 200-8112

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011370ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Keen Eyecare Consultants Inc. Optometrist CurrentSince Nov 27, 2024 Accepting new patients
Marion Eye Centers LTD. Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Marion Eye Centers LTD. Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Peak Visual Performance, LLC Optometrist PastSince Oct 17, 2018 Accepting new patients

Locations

1201 W Main St
Carmi, IL 62821
Phone (618) 384-5112

101 E Main St
Fairfield, IL 62837
Phone (618) 842-3228

1200 W Deyoung St
Marion, IL 62959
Phone 61899356861290

6436 E Florida St
Ste 102
Evansville, IN 47715
Phone (812) 200-8112

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, 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": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1467927392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W DEYOUNG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629594437",
            "telephone_number": "618-993-5686",
            "fax_number": "618-993-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 S SCATTERFIELD RD STE B",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460165783",
            "telephone_number": "765-649-1200",
            "fax_number": "765-649-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1429 Shelby St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462031946",
            "country_code": "US",
            "telephone_number": "317-737-2145",
            "fax_number": "765-632-9222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E Main St",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "IL",
            "postal_code": "628372027",
            "country_code": "US",
            "telephone_number": "618-842-3228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANISH",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011370",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004133A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046011370",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.