Debra L McConnaha, O.D.

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

18002361B Issued in IN

Practice address

1634 W Smith Valley Rd
Ste a
Greenwood, IN 46142-1550

Phone

(317) 883-2020

Fax

(317) 883-2509

NPI assigned

Jun 1, 2005

Last updated

Oct 21, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Center Grove Eye Care, P.C.

  • Optometrist
  • Greenwood, IN
  • NPI 1679751390

  Low Vision Rehabilitation

  NPD (past)
• Indiana University

  dba Atwater Eye Care Center

  • Optometrist
  • Bloomington, IN
  • NPI 1174566921

  Low Vision Rehabilitation

  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1629070925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 W SMITH VALLEY RD",
            "address_2": "STE A",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421550",
            "telephone_number": "317-883-2020",
            "fax_number": "317-883-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 W SMITH VALLEY RD",
            "address_2": "STE A",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421550",
            "telephone_number": "317-883-2020",
            "fax_number": "317-883-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNAHA",
        "first_name": "DEBRA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "IN",
            "license": "18002361B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pawting May
• Kaylee Mayo, OD
• Tina Herndon McAninch, LCSW
• Crystal Ann McCallum, DPT
• Heather Nichole McCleary
• Ariel Jasmine McConnell, RBT
• Erin McCord
• Charles Owen McCormick III, M.D.
• Jason Wayne McCormick, MD
• Eunji Huh McCracken, M.A.

• Low Vision Rehabilitation Optometrist in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Low Vision Rehabilitation Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.