Individual provider Active NPI

Karsen Lee Sherfick, OD

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1790553295
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004455A Issued in IN
Practice address
8702 Keystone Xing Ste 101B
Indianapolis, IN 46240-7811
Phone
(317) 975-6900
NPI assigned
Dec 13, 2023
Last updated
Feb 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004455A IN Primary

Addresses

Primary practice location

8702 Keystone Xing Ste 101B
Indianapolis, IN 46240-7811

Mailing address

18882 Mallery Rd
Noblesville, IN 46060-6739
Phone (317) 379-9306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18004455AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
See Inc Optometrist PastSince Dec 17, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1790553295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18882 MALLERY RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460606739",
            "telephone_number": "317-379-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8702 KEYSTONE XING STE 101B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462407811",
            "telephone_number": "317-975-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERFICK",
        "first_name": "KARSEN",
        "middle_name": "LEE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004455A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.