Active NPI
Michael Gettelfinger, O.D.
- Optometrist
- New Albany, IN
National Provider Identifier
1790780138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18001831A
- Practice address
- 1501 State St
New Albany, IN 47150-4911 - Phone
- (812) 945-1162
- Fax
- (812) 945-5592
- NPI assigned
- Jun 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18001831A | IN | Primary |
Addresses
Primary practice location
1501 State St
New Albany, IN 47150-4911
Mailing address
1501 State St
New Albany, IN 47150-4911
Phone (812) 945-1162
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18001831A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reynolds Family Eye Care, LLC | Optometrist | Past | 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 and National Provider Directory roles.
-
- Optometrist
- New Albany, IN
- NPI 1538806583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206057600000",
"number": "1790780138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 STATE ST",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471504911",
"telephone_number": "812-945-1162",
"fax_number": "812-945-5592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 STATE ST",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471504911",
"telephone_number": "812-945-1162",
"fax_number": "812-945-5592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GETTELFINGER",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2008-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18001831A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.