Individual provider Active NPI

Thomas Bassetto, O.D.

  • Optometrist
  • Portage, IN
National Provider Identifier
1598211138
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003994A Issued in IN
Practice address
6097 US Highway 6
Portage, IN 46368-5215
Phone
(219) 763-1538
NPI assigned
Sep 1, 2016
Last updated
May 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003994A IN Primary

Addresses

Primary practice location

6097 US Highway 6
Portage, IN 46368-5215

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20170403000990 IN Practitioner - Optometry 6901181072 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Indiana LLCGroup PAC ID 5496091316, 82 clinicians

Practice addresses (Care Compare)

2106 Calumet Ave
Valparaiso, IN 46383-2708
Phone (219) 464-8200

528 Indian Boundary Rd
Chesterton, IN 46304-1515
Phone (219) 250-2470

6097 US Hwy 6
Portage, IN 46368-5215
Phone (219) 763-1538

9760 Lantern Rd
Fishers, IN 46037-9612
Phone (317) 577-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003994AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
First Impressions Optometric Associates, LLC Optometrist CurrentSince Feb 6, 2022 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Jun 6, 2023 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Jun 6, 2023 Accepting new patients
First Impressions Optometric Associates, LLC Optometrist CurrentSince Feb 6, 2022 Accepting new patients

Locations

528 Indian Boundary Rd
Chesterton, IN 46304
Phone (219) 250-2470

1030 Veterans Pkwy
Clarksville, IN 47129
Phone (812) 282-2020

1184 N Main St
Crown Point, IN 46307
Phone (219) 226-9571

9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200

2141 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 446-8010

1908 Southlake Mall
Unit Al
Merrillville, IN 46410
Phone (219) 791-0951

279 W 80th Pl
Merrillville, IN 46410
Phone (219) 738-2180

3701 Franklin St
Michigan City, IN 46360
Phone (219) 872-8844

6097 US Highway 6
Portage, IN 46368
Phone (219) 730-4559

2106 Calumet Ave
Valparaiso, IN 46383
Phone (219) 464-8200

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1598211138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6097 US HIGHWAY 6",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685215",
            "telephone_number": "219-763-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSETTO",
        "first_name": "THOMAS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003994A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, IN

Sources for this page

Verify at the official NPI Registry.