Active NPI
Michael Ray
- Optometrist
- Franklin, IN
National Provider Identifier
1528062908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002113A
- Practice address
- 110 N Jackson St
Franklin, IN 46131-1705 - Phone
- (317) 346-4107
- Fax
- (317) 346-4108
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002113A | IN | Primary |
Addresses
Primary practice location
110 N Jackson St
Franklin, IN 46131-1705
Mailing address
110 N Jackson St
Franklin, IN 46131-1705
Phone (317) 346-4107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200059300A | Medicaid | IN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040719001230 | IN | Practitioner - Optometry | 7012996358 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002113A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Mobile Care Inc | Optometrist | Current | Accepting new patients |
| Hearmax, PLLC | Past | Accepting new patients |
Locations
12803 Lenover St
Dillsboro, IN 47018
Phone (812) 432-5226
110 N Jackson St
Franklin, IN 46131
Phone (317) 346-4107
Organizations & group practices 2
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.
-
- Optometrist
- Franklin, IN
- NPI 1942432422
-
- Audiologist
- Louisville, KY
- NPI 1932248333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1528062908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 N JACKSON ST",
"city": "FRANKLIN",
"state": "IN",
"postal_code": "461311705",
"telephone_number": "317-346-4107",
"fax_number": "317-346-4108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N JACKSON ST",
"city": "FRANKLIN",
"state": "IN",
"postal_code": "461311705",
"telephone_number": "317-346-4107",
"fax_number": "317-346-4108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002113A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200059300A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.