Individual provider Active NPI

Kevin L. Waltz, M.D.

  • Ophthalmology Physician
  • Indianapolis, IN
National Provider Identifier
1568405561
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01041436A Issued in IN
Practice address
8103 Clearvista Pkwy
Suite 240
Indianapolis, IN 46256-5628
Phone
(317) 845-9488
Fax
(317) 570-7433
NPI assigned
Jun 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01041436A IN Primary

Addresses

Primary practice location

8103 Clearvista Pkwy
Suite 240
Indianapolis, IN 46256-5628

Mailing address

8103 Clearvista Pkwy
Suite 240
Indianapolis, IN 46256-5628
Phone (317) 845-9488

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080929000731 IN Practitioner - Ophthalmology 4880761089 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Whitson Vision, PC Ophthalmology CurrentSince Aug 31, 2019 Accepting new patients
Indiana University Current Accepting new patients
Whitson Vision, PC Ophthalmology Current Accepting new patients
Indiana University Past Accepting new patients
Eye Surgeons of Indiana, PC Ophthalmology PastSince Jul 1, 1997 Accepting new patients
Major Hospital Ophthalmology Past Accepting new patients
Indiana University Past Accepting new patients

Locations

1115 Ronald Reagan Pkwy
Ste 223
Avon, IN 46123
Phone (317) 217-3937

800 E Atwater Ave
#316
Bloomington, IN 47405
Phone (812) 855-8436

501 Indiana Ave
Indianapolis, IN 46202
Phone (317) 321-1470

901 E 86th St
Indianapolis, IN 46240
Phone (317) 844-5500

1160 W Michigan St
Ste 100
Indianapolis, IN 46202
Phone (317) 278-1470

Organizations & group practices 7

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1568405561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8103 CLEARVISTA PKWY",
            "address_2": "SUITE 240",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462565628",
            "telephone_number": "317-845-9488",
            "fax_number": "317-570-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8103 CLEARVISTA PKWY",
            "address_2": "SUITE 240",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462565628",
            "telephone_number": "317-845-9488",
            "fax_number": "317-570-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTZ",
        "first_name": "KEVIN",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01041436A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.