Individual provider Active NPI

Alyssa Marie Kehoe, OD

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1730743519
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004323A Issued in IN
Practice address
901 E 86TH St
Indianapolis, IN 46240-1807
Phone
(317) 333-8301
NPI assigned
Apr 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011339 IL
Optometrist 152W00000X 18004323A IN Primary

Addresses

Primary practice location

901 E 86TH St
Indianapolis, IN 46240-1807

Mailing address

2727 N Harwood St Ste 350
Dallas, TX 75201-2468

Other practice location 1

4401 S Harlem Ave
Stickney, IL 60402-4250
Phone (708) 788-3400

Other names 1

  • Alyssa Marie Berry Former 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
I20220720001470 IN Practitioner - Optometry 1052649928 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey L Morer OD PCGroup PAC ID 7719870807, 50 clinicians

Practice addresses (Care Compare)

201 N Illinois St
16TH Floor S Tower
Indianapolis, IN 46204-1904
Phone (888) 964-6681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011339ILMDOptometrist
18004323AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Whitson Vision, PC Optometrist Current Accepting new patients
Whitson Vision, PC Optometrist CurrentSince Jun 1, 2022 Accepting new patients

Locations

901 E 86th St
Indianapolis, IN 46240
Phone (317) 844-5500

Interoperability endpoints

  • Direct secure messaging: akehoe@whitsonvision.intellechartdirect.net

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": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1730743519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 N HARWOOD ST STE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401807",
            "telephone_number": "317-333-8301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 S Harlem Ave",
            "address_purpose": "LOCATION",
            "city": "Stickney",
            "state": "IL",
            "postal_code": "604024250",
            "country_code": "US",
            "telephone_number": "708-788-3400",
            "fax_number": "708-788-3472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEHOE",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011339",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004323A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "BERRY",
            "middle_name": "MARIE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.