Individual provider Active NPI

Corella Lynn Papalia, O.D.

  • Optometrist
  • Noblesville, IN
National Provider Identifier
1487688289
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003285A Issued in IN
Practice address
160 Lakeview Dr
Noblesville, IN 46060-1307
Phone
(317) 773-4482
Fax
(317) 776-2520
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003285A IN Primary

Addresses

Primary practice location

160 Lakeview Dr
Noblesville, IN 46060-1307

Mailing address

160 Lakeview Dr
Noblesville, IN 46060-1307
Phone (317) 773-4482

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
I20041028000753 IN Practitioner - Optometry 4789646118 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003285AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
First Impressions Optometric Associates, LLC Optometrist CurrentSince Feb 6, 2024 Accepting new patients
First Impressions Optometric Associates, LLC Optometrist CurrentSince Feb 6, 2024 Accepting new patients

Locations

10777 E Washington St
Ste A
Indianapolis, IN 46229
Phone (317) 397-0480

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1487688289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 LAKEVIEW DR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601307",
            "telephone_number": "317-773-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 LAKEVIEW DR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601307",
            "telephone_number": "317-773-4482",
            "fax_number": "317-776-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPALIA",
        "first_name": "CORELLA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003285A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.