Individual provider Active NPI

Lindsey Nicholson, OD

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1508511478
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004319A Issued in IN
Practice address
54 Monument Cir Ste 125
Indianapolis, IN 46204-3047
Phone
(317) 631-1200
NPI assigned
Feb 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 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 18004319A IN Primary

Addresses

Primary practice location

54 Monument Cir Ste 125
Indianapolis, IN 46204-3047

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other names 1

  • Lindsey Susan Morgan Former name

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
I20220302000615 IN Practitioner - Optometry 9234523572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warner Eyecare LLCGroup PAC ID 9234363862, 2 clinicians
Myeyedr Optometry of Indiana LLCGroup PAC ID 5496091316, 82 clinicians

Practice addresses (Care Compare)

1642 Olive Branch Parke LN
Suite 1000
Greenwood, IN 46143-5901
Phone (317) 883-0071

54 Monument Cir
Suite 125
Indianapolis, IN 46204-3047
Phone (317) 631-1200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18004319AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Feb 28, 2022 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Feb 28, 2022 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients

Locations

2901 S McIntire Dr
Bloomington, IN 47403
Phone (812) 332-1401

2901 S McIntire Dr
Ste 120
Bloomington, IN 47403
Phone (812) 332-1401

13080 Grand Blvd
Ste 110
Carmel, IN 46032
Phone (317) 575-1133

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

8170 Oaklandon Rd
#A
Indianapolis, IN 46236
Phone (317) 823-9985

54 Monument Cir
Ste 125
Indianapolis, IN 46204
Phone (317) 631-1200

105 S Raceway Rd
Ste 100
Indianapolis, IN 46231
Phone (317) 273-8474

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

17151 Mercantile Blvd
Ste 100
Noblesville, IN 46060
Phone (317) 259-4234

357 W Morgan St
Ste C
Spencer, IN 47460
Phone (812) 829-1254

1501 W Oak St
Ste 100
Zionsville, IN 46077
Phone (317) 873-4020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1508511478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MONUMENT CIR STE 125",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462043047",
            "telephone_number": "317-631-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "LINDSEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004319A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "MORGAN",
            "middle_name": "SUSAN",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.