Individual provider Active NPI

Christy Anne Osborne, OD

  • Optometrist
  • Muncie, IN
National Provider Identifier
1508848334
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002129B Issued in IN
Practice address
424 W Jackson St.
Muncie, IN 47305-1585
Phone
(765) 289-1193
Fax
(765) 286-5992
NPI assigned
Nov 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 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 18002129B IN Primary

Addresses

Primary practice location

424 W Jackson St.
Muncie, IN 47305-1585

Mailing address

424 W. Jackson St.
Muncie, IN 47305-1585
Phone (765) 289-1193

Other identifiers 1

IdentifierTypeStateIssuer
100134950CMedicaidIN

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
I20051201000155 IN Practitioner - Optometry 6204856560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

424 W Jackson St
Muncie, IN 47305-1585
Phone (765) 289-1193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002129BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Christy a Osborne and Associates, PC Optometrist CurrentSince Oct 26, 1996 Accepting new patients

Locations

424 W Jackson St
Muncie, IN 47305
Phone (765) 289-1193

119 E Charles St
Muncie, IN 47305
Phone (765) 289-1193

Organizations & group practices 1

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1508848334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 W. JACKSON ST.",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473051585",
            "telephone_number": "765-289-1193",
            "fax_number": "765-286-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 W JACKSON ST.",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473051585",
            "telephone_number": "765-289-1193",
            "fax_number": "765-286-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "CHRISTY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002129B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100134950C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.