Jillian J Pall, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003749A Issued in IN

Practice address

11559 Cumberland Rd Ste 300
Fishers, IN 46037-9787

Phone

(317) 594-5000

NPI assigned

Jul 24, 2012

Sex

Female

Sole proprietor

No

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

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fishers Eye Care Optometry LLC

  • Optometrist
  • Fishers, IN
  • NPI 1295357879
  Medicare reassignment NPD Authorized official
• Fishers Eye Care, LLC

  • Optometrist
  • Fishers, IN
  • NPI 1972517290
  NPD

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1659626976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11559 CUMBERLAND RD STE 300",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379787",
            "telephone_number": "317-594-5000",
            "fax_number": "317-594-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11559 CUMBERLAND RD STE 300",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379787",
            "telephone_number": "317-594-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALL",
        "first_name": "JILLIAN",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003749A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Patricia Owens, MA, CCC-SLP
• Joanne Allison Owens, RN
• Vicky Lynn Owens, NP
• Theresia Maria Paauwe, LMHC
• Carl M Pafford, MD
• Sue Pallekonda, MD, MBBS
• John William Palmer, P.T.A.
• Rhonda J Palmer, APRN PMHCNS
• Ryan Victor Palombit
• Sandra Yaneth Pardo

• Optometrist in Fishers, IN
• Providers in Fishers, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.