Organization Active NPI

Midwest Cornea Associates, LLC

  • Ophthalmology Physician
  • Carmel, IN
National Provider Identifier
1639455066
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MIDWEST CORNEA ASSOCIATES, LLC
Practice address
10300 N Illinois St Ste 1040
Carmel, IN 46290-1167
Phone
(317) 817-1765
Fax
(317) 817-1767
NPI assigned
Oct 31, 2011
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Nicki M McCloud
Title
Practice Manager
Phone
(317) 805-4509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X IN Primary

Addresses

Primary practice location

10300 N Illinois St Ste 1040
Carmel, IN 46290-1167

Mailing address

10300 N Illinois St Ste 1040
Carmel, IN 46290-1167
Phone (317) 817-1765

Other practice location 1

11220 Illinois St Ste 240
Carmel, IN 46032-8887
Phone (317) 817-1765

Other names 1

  • Invision LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120404000512 IN Part B Supplier - Clinic/Group Practice 8325208069 Receives reassigned benefits from 3 practitioners
Practice locations: Carmel, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2074226Midwest Cornea Associates, LLC11220 Illinois Street, Suite 240, Carmel, IN 46032Certificate of waiverMar 3, 2028

National Provider Directory

National Provider Directory

Locations

10300 N Illinois St
Ste 1040
Carmel, IN 46290
Phone (317) 817-1765

11220 Illinois St
Ste 240
Carmel, IN 46032
Phone (317) 805-4509

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1639455066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 N ILLINOIS ST STE 1040",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901167",
            "telephone_number": "317-817-1765",
            "fax_number": "317-817-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 N ILLINOIS ST STE 1040",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901167",
            "telephone_number": "317-817-1765",
            "fax_number": "317-817-1767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11220 Illinois St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460328887",
            "country_code": "US",
            "telephone_number": "317-817-1765",
            "fax_number": "317-817-1767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWEST CORNEA ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "MCCLOUD",
        "authorized_official_first_name": "NICKI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "317-805-4509"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Invision LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.