John C Venezia, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003710A Issued in IN

Practice address

10777 E Washington St Ste a
Indianapolis, IN 46229-2642

Phone

(317) 897-0480

Fax

(317) 897-0779

NPI assigned

Aug 1, 2011

Sex

Male

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 1

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

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.

• First Impressions Optometric Associates, LLC

  • Optometrist
  • Bloomington, IN
  • NPI 1083366363

  IN, Optometrist

  Medicare reassignment NPD
• First Impressions Optometric Associates, LLC

  • Eyewear Supplier
  • Highland, IN
  • NPI 1942960539

  Optometrist

  NPD
• Eyecare Indiana II, P.C.

  • Optometrist
  • Indianapolis, IN
  • NPI 1407134950
  NPD (past)
• Eyecare Indiana LL, PC

  • Optometrist
  • Mishawaka, IN
  • NPI 1134485360
  NPD (past)
• Northern Indiana Optometrists, PC

  • Optometrist
  • South Bend, IN
  • NPI 1841215738
  NPD (past)

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1720366248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10777 E WASHINGTON ST STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292642",
            "telephone_number": "317-897-0480",
            "fax_number": "317-897-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10777 E WASHINGTON ST STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292642",
            "telephone_number": "317-897-0480",
            "fax_number": "317-897-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEZIA",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-01",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003710A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201046730",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Velora Med LLC
• Maricar Maria Veluz
• John Tyler Venable, PHARMD
• Robyne Venable
• Andrew Venardi, MD
• Linda A Venezia, O.D.
• Veni-Phleb Elite LLC
• Veni-Phleb Elite LLC
• Charlotte Venious, D.O.
• George John Venious, M.D.

• All providers in Indianapolis, IN
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.