Individual provider Active NPI

Robert Eugene Kline, OD

  • Optometrist
  • Lebanon, IN
National Provider Identifier
1477523223
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001763A Issued in IN
Practice address
1111 N Lebanon St
Lebanon, IN 46052-1760
Phone
(765) 482-2066
Fax
(765) 482-4847
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 13

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Eyecare LTD 19 clinicians

Practice addresses (Care Compare)

380 W Walnut St
Frankfort, IN 46041-2367
Phone (765) 654-8744

3901 W State Rd
Suite 5
Sheridan, IN 46069-9256
Phone (317) 758-6162

408 W Market St
Crawfordsville, IN 47933-1600
Phone (765) 362-4893

750 E Main St
Delphi, IN 46923-1327
Phone (765) 564-2800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20100810000877 IN Practitioner - Optometry 0648304899 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18001763AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Jan 7, 2019 Accepting new patients
Norman Eyecare LTD. Optometrist CurrentSince Sep 23, 2019 Accepting new patients
Norman Eyecare LTD. Optometrist Current Accepting new patients
Norman Eyecare LTD. Optometrist CurrentSince Sep 23, 2019 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Jan 7, 2019 Accepting new patients
Eyecare Indiana II, P.C. Optometrist Past Accepting new patients

Locations

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

380 W Walnut St
Frankfort, IN 46041
Phone (765) 654-8744

1303 S Jackson St
Frankfort, IN 46041
Phone (765) 654-8744

804 Broad Ripple Ave
Indianapolis, IN 46220
Phone (317) 257-5421

2705 N Lebanon St
Ste 230
Lebanon, IN 46052
Phone (317) 773-5153

3901 W State Road 47
Ste 5
Sheridan, IN 46069
Phone (317) 385-4871

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001763A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

1111 N Lebanon St
Lebanon, IN 46052-1760

Mailing address

5455 Harrison Park LN
Indianapolis, IN 46216-2245
Phone (317) 254-6480

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
100063210AMedicaidIN
22000000331180OtherINANTHEM BLUE CROSS
351471010OtherINVISION CARE PLAN
410002440OtherINRAILROAD MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 31, 2014.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1477523223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 HARRISON PARK LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162245",
            "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": "1111 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521760",
            "telephone_number": "765-482-2066",
            "fax_number": "765-482-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "ROBERT",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001763A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100063210A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "22000000331180",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION CARE PLAN",
            "identifier": "351471010",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410002440",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

Verify at the official NPI Registry.