Dr. Craig a. Fenimore, Optometrist

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

18002225 Issued in IN

Legal business name

DR. CRAIG A. FENIMORE, OPTOMETRIST

Practice address

1818 N Main St
Rushville, IN 46173-9316

Phone

(765) 932-4800

Fax

(765) 932-2619

NPI assigned

Nov 8, 2012

Last updated

Nov 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mellody Fern Wiley

Title

Office Manager

Phone

(765) 932-4800

Specialties & licenses 2

Addresses

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

Medicare medical equipment & supply locations

Locations

Practitioners 1

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.

• Craig A Fenimore, O.D.

  • Optometrist
  • Rushville, IN
  • NPI 1326028796
  NPD (past)

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1700130952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 N MAIN ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461739316",
            "telephone_number": "765-932-4800",
            "fax_number": "765-932-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N MAIN ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461739316",
            "telephone_number": "765-932-4800",
            "fax_number": "765-932-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CRAIG A. FENIMORE, OPTOMETRIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "MELLODY",
        "authorized_official_middle_name": "FERN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "765-932-4800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "18002225",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IN",
            "license": "18002225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Richard Davidson, PA-C
• Mary Davis
• Eileen Dewire, NP
• Haley Dickson
• Alisha Nicole Dowell, LCSW, MSW
• Dr. Douglas W. Morrell
• Edwin Dale Dunteman, MD, MS
• Susan Elizabeth Engel Eakins, LCSW
• Ashley Edwards
• Craig A Fenimore, O.D.

• Eyewear Supplier in Rushville, IN
• Providers in Rushville, IN by specialty
• Eyewear Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.