NPIMap

Indiana University

Organization Active NPI Optometrist · Indianapolis, IN

NPI 1497799787 · NPPES record last updated Jan 12, 2026

Key facts

NPI
1497799787
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
Legal business name
INDIANA UNIVERSITY
Practice address
1160 W Michigan St Ste 100
Indianapolis, IN 46202-5209
Phone
(317) 278-1470
Fax
(317) 274-1475
NPI assigned
Jun 16, 2006
Organization subpart
No

Authorized official

Name
Jennifer S Fisher
Title
Business MGR
Phone
(812) 856-3624

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Practitioners 146

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 146

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IN

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Indiana University Health
Indianapolis, IN · CCN 150056		 Hospital Operational/Managerial Control Jan 1, 1997
Indiana University Health
Indianapolis, IN · CCN 15S056		 Hospital Operational/Managerial Control May 2, 1996
Indiana University Health Inc
Indianapolis, IN · CCN 157158		 Home health agency Operational/Managerial Control Jan 1, 1997
Indiana University Health Hospice
Indianapolis, IN · CCN 151511		 Hospice Operational/Managerial Control Jan 1, 1997

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040513001109 IN Part B Supplier - Clinic/Group Practice 6002806957 Receives reassigned benefits from 66 practitioners
2 other NPIs on this enrollment
Practice locations: Bloomington, IN; Indianapolis, IN
O20100930052039 IN DME Supplier - Physician - Optometrist
DME Supplier - Optician		 6002806957 Practice locations: Indianapolis, IN

National Provider Directory

Tax ID family
Iu School of Dentistry (27 organizations share this tax ID)

Locations

800 E Atwater Ave
Rm 249
Bloomington, IN 47405

501 Indiana Ave
Ste 100
Indianapolis, IN 46202
Phone (317) 321-1470

Interoperability endpoints

  • Direct secure messaging: direct@indianaunivschoolofoptombloomingtonin.compulinkdirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP		 152W00000X Yes

Addresses

Primary practice location

1160 W Michigan St Ste 100
Indianapolis, IN 46202-5209

Mailing address

PO Box 7079
Indianapolis, IN 46207-7079
Phone (317) 278-1470

Other identifiers

IdentifierTypeStateIssuer
100237690AMedicaidIN
000000105532OtherINANTHEM

Other names

  • Indianapolis Eye Care Center Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address Direct@IndianaUnivSchoolOfOptomBloomingtonIN.CompulinkDirect.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 12, 2026.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1497799787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7079",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462077079",
            "telephone_number": "317-278-1470",
            "fax_number": "317-274-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 W MICHIGAN ST STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025209",
            "telephone_number": "317-278-1470",
            "fax_number": "317-274-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BUSINESS MGR",
        "authorized_official_telephone_number": "812-856-3624"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100237690A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000105532",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@IndianaUnivSchoolOfOptomBloomingtonIN.CompulinkDirect.com",
            "affiliation": "N",
            "endpointDescription": "IUSO direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "1160 W Michigan St Ste 100",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Indianapolis Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Optometrist in Indiana

Sources for this page

Verify at the official NPI Registry.