Elizabeth A Groninger, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002476 Issued in IN

Practice address

900 Edwards Dr
Plainfield, IN 46168-5680

Phone

(317) 839-2368

Fax

(317) 839-1267

NPI assigned

Jul 27, 2006

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

Other identifiers 2

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

Indiana University - School of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plainfield Eye Care PCGroup PAC ID 2769512144, 4 clinicians

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.

• Plainfield Eye Care PC

  • Optometrist
  • Plainfield, IN
  • NPI 1548332794
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1710991849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 EDWARDS DR",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461685680",
            "telephone_number": "317-839-2368",
            "fax_number": "317-839-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 EDWARDS DR",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461685680",
            "telephone_number": "317-839-2368",
            "fax_number": "317-839-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONINGER",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11478976",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000083757",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Syanne Green, RBT
• Tamara J Greene, PMHNP-BC
• Christina Gregory, RBT
• Jakiya Gregory
• Hunter Dane Grimes, NP
• Madison Guthrie, RBT
• Liliia M Gutsul, PHARMD
• Hannah Guy
• Dayanara Guzman
• Kylie Gwinn, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.