Individual provider Active NPI

Brandon Michael Sharp, O.D.

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1619260288
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003713A Issued in IN
Practice address
1901 N Meridian St
Indianapolis, IN 46202-1303
Phone
(317) 925-2200
Fax
(317) 920-6609
NPI assigned
May 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003713A IN Primary
Optometrist 152W00000X 18003713B IN

Addresses

Primary practice location

1901 N Meridian St
Indianapolis, IN 46202-1303

Mailing address

1901 N Meridian St
Indianapolis, IN 46202-1303
Phone (317) 925-2200

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
I20120716000431 IN Practitioner - Optometry 9436319217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Specialists of Indiana PCGroup PAC ID 5193754265, 12 clinicians

Practice addresses (Care Compare)

1901 N Meridian St
Indianapolis, IN 46202-1303
Phone (317) 925-2200

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as group
Quality
100
Improvement activities
40
Cost
83.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003713AINMDOptometrist
18003713BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Specialist of Indiana, P.C. Optometrist CurrentSince May 23, 2015 Accepting new patients
Eye Specialists of Indiana, PC Optometrist CurrentSince May 23, 2015 Accepting new patients
Evans Eye Care Inc Optometrist CurrentSince Jun 28, 2012 Accepting new patients
Dr Polly Hendricks & Associates, LLC Optometrist PastSince Dec 1, 2008 Accepting new patients
Surgery Center of Eye Specialists of Indiana, PC Past Accepting new patients
Baptist Healthcare System Inc Past Accepting new patients

Locations

1950 W 86th St
Indianapolis, IN 46260
Phone 3179204575307

1901 N Meridian St
Indianapolis, IN 46202
Phone (317) 925-2200

1828 N Meridian St
Ste 123
Indianapolis, IN 46202
Phone (317) 925-2200

3530 S Keystone Ave
Indianapolis, IN 46227
Phone (317) 925-2200

1221 S Creasy Ln
Ste A
Lafayette, IN 47905
Phone (765) 447-4951

3526 Osborne Ln
Lafayette, IN 47909
Phone (765) 447-4951

3829 Union St
Lafayette, IN 47905
Phone (765) 447-4951

1055 S Hunt St
Terre Haute, IN 47803
Phone (317) 925-2200

Interoperability endpoints

  • Direct secure messaging: bsharp@esin.intellechartdirect.net

Organizations & group practices 6

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": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1619260288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021303",
            "telephone_number": "317-925-2200",
            "fax_number": "317-920-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021303",
            "telephone_number": "317-925-2200",
            "fax_number": "317-920-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003713A",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003713B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.