Individual provider Active NPI

Lori Kay Obenauf Digregory

  • Optometrist
  • Fishers, IN
National Provider Identifier
1669525119
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002527A Issued in IN
Practice address
9760 Lantern Rd
Fishers, IN 46037-9612
Phone
(317) 577-9200
Fax
(317) 570-4434
NPI assigned
Jan 19, 2007
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002527A IN Primary

Addresses

Primary practice location

9760 Lantern Rd
Fishers, IN 46037-9612

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other names 1

  • Dr. Lori K. Di Gregory Professional name

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
I20110207000691 IN Practitioner - Optometry 0345420444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Indiana LLCGroup PAC ID 5496091316, 82 clinicians

Practice addresses (Care Compare)

9760 Lantern Rd
Fishers, IN 46037-9612
Phone (317) 577-9200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Oct 12, 2020 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Oct 12, 2020 Accepting new patients

Locations

9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: lobenauf018525@myeyedr.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1669525119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9760 LANTERN RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379612",
            "telephone_number": "317-577-9200",
            "fax_number": "317-570-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBENAUF DIGREGORY",
        "first_name": "LORI",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002527A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "DI GREGORY",
            "middle_name": "K.",
            "prefix": "DR.",
            "credential": "O.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.