Angela N Berghoff, OD
Individual provider Active NPI Optometrist · Zionsville, IN
NPI 1528042389 · NPPES record last updated Oct 12, 2007
Key facts
- NPI
- 1528042389
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 18003306A (IN)
- Practice address
- 10801 N Michigan Rd
Zionsville, IN 46077-9207 - Phone
- (317) 344-1262
- NPI assigned
- Dec 5, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Loman Eye Care Inc
Practice addresses (Care Compare)
630 3Rd Ave SW
Suite 100
Carmel, IN 46032-2087
Phone (317) 844-7474
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 23 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051202000008 | IN | Practitioner - Optometry | 9739109992 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Physician Services Hospital and Health Care Center | Optometrist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18003306A | IN | Yes |
Addresses
Primary practice location
10801 N Michigan Rd
Zionsville, IN 46077-9207
Mailing address
10330 N Meridian St
Suite 201
Indianapolis, IN 46290-1024
Other providers in Zionsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.