Individual provider Active NPI

Colin Claerbout, OD

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1538795703
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004222A Issued in IN
Practice address
4900 S Arlington Ave
Indianapolis, IN 46237-3507
Phone
(317) 782-4000
NPI assigned
Mar 19, 2020
Last updated
Jun 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004222A IN Primary

Addresses

Primary practice location

4900 S Arlington Ave
Indianapolis, IN 46237-3507

Mailing address

1239 S East St Apt C
Indianapolis, IN 46225-2531

Other practice location 1

4037 Arbor Ln Ste B
New Palestine, IN 46163-9269
Phone (317) 861-4100

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
I20200710001086 IN Practitioner - Optometry 7911320890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4900 S Arlington Ave
Indianapolis, IN 46237-3507
Phone (317) 782-4000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Best in Sight Family Eye Care PC Optometrist CurrentSince Jul 6, 2020 Accepting new patients
Best in Sight Family Eyecare, P.C. Optometrist CurrentSince Jul 6, 2020 Accepting new patients

Locations

4900 S Arlington Ave
Indianapolis, IN 46237
Phone (317) 782-4000

4037 Arbor Ln
Ste B
New Palestine, IN 46163
Phone (317) 861-4100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1538795703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 S EAST ST APT C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462252531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 S ARLINGTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462373507",
            "telephone_number": "317-782-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4037 Arbor Ln Ste B",
            "address_purpose": "LOCATION",
            "city": "New Palestine",
            "state": "IN",
            "postal_code": "461639269",
            "country_code": "US",
            "telephone_number": "317-861-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAERBOUT",
        "first_name": "COLIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004222A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.