Blue Iris Optometry
Organization Active NPI Optometrist · Franklin, IN
NPI 1548745375 · NPPES record last updated Feb 1, 2019
Key facts
- NPI
- 1548745375
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- BLUE IRIS OPTOMETRY
- Practice address
- 460 N Morton St Ste D
Franklin, IN 46131-1388 - Phone
- (317) 738-4747
- NPI assigned
- Sep 27, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Amanda M Dininger, OD
- Title
- Owner
- Phone
- (317) 738-4747
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190211001518 | IN | Part B Supplier - Clinic/Group Practice | 0345588760 |
Receives reassigned benefits from 1 practitioner Practice locations: Franklin, IN |
National Provider Directory
Locations
460 N Morton St
Ste D
Franklin, IN 46131
Phone (317) 738-4747
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
460 N Morton St Ste D
Franklin, IN 46131-1388
Mailing address
7717 Andrew Pass
Plainfield, IN 46168-9383
Phone (317) 289-3075
Other providers in Franklin, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2019. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.