Active NPI
James E Wilson, OD
- Optometrist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18001602
- Practice address
- 10610 N Pennsylvania St
Ste B
Indianapolis, IN 46280-2000 - Phone
- (317) 844-6269
- Fax
- (317) 815-7567
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18001602 | IN | Primary |
Addresses
Primary practice location
10610 N Pennsylvania St
Ste B
Indianapolis, IN 46280-2000
Mailing address
10610 Pennsylvania Street
Suite B
Indianapolis, IN 46280
Phone (317) 844-6269
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10610 N Pennsylvania St
Suite 102
Carmel, IN 46280-2000
Phone (317) 844-6269
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.84 of 100
- Quality
- 95.68
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18001602 | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lanter Eyecare and Laser Surgery PC | Optometrist | Current | Accepting new patients |
Locations
10610 N Pennsylvania St
Ste B
Carmel, IN 46280
Phone (317) 844-6269
10610 N Pennsylvania St
Ste 102
Carmel, IN 46280
Phone (317) 844-6269
1550 E County Line Rd
#326
Indianapolis, IN 46227
Phone (317) 887-7777
Organizations & group practices 1
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": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1669517306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10610 PENNSYLVANIA STREET",
"address_2": "SUITE B",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46280",
"telephone_number": "317-844-6269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10610 N PENNSYLVANIA ST",
"address_2": "STE B",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462802000",
"telephone_number": "317-844-6269",
"fax_number": "317-815-7567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JAMES",
"middle_name": "E",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18001602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.