Individual provider Active NPI

Christine D Bolton, O.D.

  • Optometrist
  • Lafayette, IN
National Provider Identifier
1487628988
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003008 Issued in IN
Practice address
1400 Teal Rd
Suite 8
Lafayette, IN 47905-2463
Phone
(765) 477-2020
Fax
(765) 477-8200
NPI assigned
Feb 14, 2006
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003008 IN Primary

Addresses

Primary practice location

1400 Teal Rd
Suite 8
Lafayette, IN 47905-2463

Mailing address

9202 N Meridian St
Indianapolis, IN 46260-1800
Phone (317) 841-2020

Other identifiers 1

IdentifierTypeStateIssuer
200230530AMedicaidIN

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
I20040223000176 IN Practitioner - Optometry 0840186441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgeons of Indiana, PCGroup PAC ID 0446267876, 19 clinicians

Practice addresses (Care Compare)

9202 N Meridian St
Suite 100
Indianapolis, IN 46260-1810
Phone (317) 841-2020

Merit-based Incentive Payment System (MIPS)

Final score
89.62 of 100Reported as group
Quality
87.79
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18003008INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgeons of Indiana, PC Optometrist CurrentSince Oct 1, 2021 Accepting new patients

Locations

9202 N Meridian St
Ste 100
Indianapolis, IN 46260
Phone (317) 841-2020

1400 Teal Rd
Ste 8
Lafayette, IN 47905
Phone (765) 477-2020

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, 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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1487628988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9202 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601800",
            "telephone_number": "317-841-2020",
            "fax_number": "317-570-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 TEAL RD",
            "address_2": "SUITE 8",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479052463",
            "telephone_number": "765-477-2020",
            "fax_number": "765-477-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "CHRISTINE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200230530A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.