Individual provider Active NPI

Matthew Weinheimer

  • Optometrist
  • Avon, IN
National Provider Identifier
1730592486
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003840A Issued in IN
Practice address
10447 E US Highway 36
Avon, IN 46123-7989
Phone
(317) 273-1702
NPI assigned
Jun 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 18003840A IN
Pediatric Optometrist 152WP0200X 18003840A IN
Optometrist 152W00000X 18003840A IN Primary

Addresses

Primary practice location

10447 E US Highway 36
Avon, IN 46123-7989

Mailing address

7817 Parkdale Dr
Zionsville, IN 46077-8014
Phone (812) 240-3255

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
I20190206000902 IN Practitioner - Optometry 4385982974 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003840AINMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
First Impressions Optometric Associates, LLC Optometrist CurrentSince Feb 12, 2024 Accepting new patients
Zionsville Eyecare LLC Optometrist CurrentSince Jan 22, 2019 Accepting new patients
First Impressions Optometric Associates, LLC Optometrist CurrentSince Feb 12, 2024 Accepting new patients

Locations

10447 E US Highway 36
Avon, IN 46123
Phone (317) 273-1702

2141 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 446-8010

1375 Parkway Dr
Zionsville, IN 46077
Phone (317) 873-3000

1120 W Oak St
Ste 100
Zionsville, IN 46077
Phone (317) 873-3000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1730592486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7817 PARKDALE DR",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778014",
            "telephone_number": "812-240-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10447 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237989",
            "telephone_number": "317-273-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINHEIMER",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IN",
            "license": "18003840A",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "IN",
            "license": "18003840A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003840A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.