Individual provider Active NPI

Karen Joyce Norrick, OD

  • Optometrist
  • Fort Wayne, IN
National Provider Identifier
1770518102
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003326 Issued in IN
Practice address
2874 E Dupont Rd
Fort Wayne, IN 46825
Phone
(260) 490-1631
Fax
(260) 490-1632
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2871-035 WI
Optometrist 152W00000X 18003326 IN Primary

Addresses

Primary practice location

2874 E Dupont Rd
Fort Wayne, IN 46825

Mailing address

PO Box 549
Wabash, IN 46992-0549
Phone (260) 569-9550

Other identifiers 2

IdentifierTypeStateIssuer
38614600MedicaidWI
201287390MedicaidIN

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
I20150514000335 IN Practitioner - Optometry 1254312390 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Indiana Professional PCGroup PAC ID 2365826179, 30 clinicians

Practice addresses (Care Compare)

13813 State St
Grabill, IN 46741-2030
Phone (260) 627-1091

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003326INMDOptometrist
2871-035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Consultants, P.C. Current Accepting new patients
Aeg Indiana Professional PC Optometrist CurrentSince Oct 13, 2024 Accepting new patients
City Optical Co., Inc. Optometrist CurrentSince Feb 1, 2022 Accepting new patients
City Optical Co., Inc. Optometrist CurrentSince Feb 1, 2022 Accepting new patients
City Optical Co., Inc. Optometrist Current Accepting new patients
Midwest Eye Consultants, P.C. Optometrist CurrentSince Jul 1, 2015 Accepting new patients
Family Vision & Contact Lens CTRS SC Optometrist Past Accepting new patients
Midwest Eye Consultants P.C. Optometrist Past Accepting new patients
Grabill Eye Center LLC Optometrist PastSince Oct 13, 2024 Accepting new patients
Dr Tabitha G Temple PC Optometrist PastSince Jul 16, 2007 Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Family Vision & Contact Lens Centers, S.C. Optometrist Past Accepting new patients

Locations

5541 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 644-3393

2874 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 490-1631

2835 Lafayette Rd
Indianapolis, IN 46222
Phone (317) 924-1300

2839 Lafayette Rd
Indianapolis, IN 46222
Phone (317) 924-1300

301 J St
#34
Laporte, IN 46350
Phone (219) 362-8923

711 N River Dr
Marion, IN 46952
Phone (765) 388-3033

2250 N Pointe Dr
Warsaw, IN 46582
Phone (574) 267-3515

Organizations & group practices 12

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1770518102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469920549",
            "telephone_number": "260-569-9550",
            "fax_number": "260-569-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2874 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46825",
            "telephone_number": "260-490-1631",
            "fax_number": "260-490-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRICK",
        "first_name": "KAREN",
        "middle_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2871-035",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38614600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201287390",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.