Individual provider Active NPI

Noah Wahl

  • Optometrist
  • Seymour, IN
National Provider Identifier
1609229731
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003989A Issued in IN
Practice address
300 W 2ND St
Seymour, IN 47274-2148
Phone
(812) 523-6100
NPI assigned
Jul 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003989A IN Primary

Addresses

Primary practice location

300 W 2ND St
Seymour, IN 47274-2148

Mailing address

300 W 2ND St
Seymour, IN 47274-2148

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
I20160725000128 IN Practitioner - Optometry 2466745716 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
Edinburgh PLLCGroup PAC ID 5991829913, 2 clinicians

Practice addresses (Care Compare)

11594 Whistle Dr
Suite 170
Fishers, IN 46037-0054
Phone (317) 360-1101

210 W Main Cross St
Edinburgh, IN 46124-1390
Phone (812) 526-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wahl to Wahl Eyecare LLC Optometrist CurrentSince Jul 17, 2023 Accepting new patients
Eye Associates of Southern Indiana PC Optometrist PastSince Aug 1, 2016 Accepting new patients

Locations

11594 Whistle Dr
#170
Fishers, IN 46037
Phone (317) 360-1101

Interoperability endpoints

  • Direct secure messaging: noah.wahl@direct.revolutionehr.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1609229731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 2ND ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 2ND ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742148",
            "telephone_number": "812-523-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "NOAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003989A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.