NPIMap

Roxana Colon, O.D.

Individual provider Active NPI Optometrist · Carmel, IN

NPI 1801153192 · NPPES record last updated Jan 6, 2015

Key facts

NPI
1801153192
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
18003845A (IN)
Practice address
9893 N Michigan Rd Ste 100
Carmel, IN 46032-7966
Phone
(317) 872-3451
Fax
(317) 872-3466
NPI assigned
Apr 11, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 16

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.

Medicare Care Compare profile

Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Impressions Optometric Associates, LLC (30 clinicians)

Practice addresses (Care Compare)

6020 E 82ND St
SPC 810 Visionworks Doctors of Optometry
Indianapolis, IN 46250-5543
Phone (317) 842-2018

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20140828002313 IN Practitioner - Optometry 5294979431 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2853CTMDOptometrist
046010717ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
First Impressions Optometric Associates, LLC Optometrist Current
since Feb 6, 2022		 Accepting new patients
First Impressions Optometric Associates, LLC Optometrist Current
since Feb 6, 2022		 Accepting new patients
First Impressions Optometric Associates, LLC Optometrist Past Accepting new patients
First Impressions Optometric Associates, LLC Optometrist Past Accepting new patients
First Impressions Optometric Associates, LLC Optometrist Past Accepting new patients
First Impressions Optometric Associates, LLC Optometrist Past Accepting new patients
First Impressions Optometric Associates, LLC Optometrist Past Accepting new patients

Locations

1950 E Greyhound Pass
Ste 2
Carmel, IN 46033
Phone (317) 569-0860

9893 N Michigan Rd
Ste 100
Carmel, IN 46032
Phone (317) 872-3451

1030 Veterans Pkwy
Clarksville, IN 47129
Phone (812) 282-2020

11781 Commercial Dr
Fishers, IN 46038
Phone (317) 513-3234

6020 E 82nd St
Ste 810
Indianapolis, IN 46250
Phone (317) 842-2013

10777 E Washington St
Ste A
Indianapolis, IN 46229
Phone (317) 397-0480

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

4440 S US Highway 41
Ste 102
Terre Haute, IN 47802
Phone (812) 232-2988

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2853 CT
Optometrist 152W00000X 046010717 IL
Optometrist 152W00000X 18003845A IN Yes

Addresses

Primary practice location

9893 N Michigan Rd Ste 100
Carmel, IN 46032-7966

Mailing address

9893 N Michigan Rd Ste 100
Carmel, IN 46032-7966
Phone (317) 872-3451

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 6, 2015.

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1801153192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9893 N MICHIGAN RD STE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327966",
            "telephone_number": "317-872-3451",
            "fax_number": "317-872-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9893 N MICHIGAN RD STE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327966",
            "telephone_number": "317-872-3451",
            "fax_number": "317-872-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "ROXANA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2853",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010717",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003845A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

All providers in Carmel, IN · Optometrist in Indiana

Sources for this page

Verify at the official NPI Registry.