Individual provider Active NPI

Mark W Habig, O.D.

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1487752218
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001795A Issued in IN
Practice address
4900 S Arlington Ave
Indianapolis, IN 46237-3507
Phone
(317) 782-4000
Fax
(317) 782-0998
NPI assigned
Sep 20, 2006
Last updated
Sep 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001795A IN Primary

Addresses

Primary practice location

4900 S Arlington Ave
Indianapolis, IN 46237-3507

Mailing address

1419 Bade Rd
Indianapolis, IN 46239-9329
Phone (317) 897-8264

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
I20050426000534 IN Practitioner - Optometry 2163461567 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

4037 Arbor LN
Suite B
New Palestine, IN 46163-9269
Phone (317) 861-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18001795AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Best in Sight Family Eye Care PC Optometrist CurrentSince Jun 5, 2013 Accepting new patients
Best in Sight Family Eyecare, P.C. Optometrist CurrentSince Jun 5, 2013 Accepting new patients
Major Hospital Past Accepting new patients
Optical Dispensing Company, P.C. Optometrist Past Accepting new patients

Locations

4900 S Arlington Ave
Indianapolis, IN 46237
Phone (317) 782-4000

4037 Arbor Ln
Ste B
New Palestine, IN 46163
Phone (317) 861-4100

Organizations & group practices 4

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1487752218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 BADE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462399329",
            "telephone_number": "317-897-8264",
            "fax_number": "925-889-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 S ARLINGTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462373507",
            "telephone_number": "317-782-4000",
            "fax_number": "317-782-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIG",
        "first_name": "MARK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001795A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.