Individual provider Active NPI

Pauline Ayad, OD

  • Optometrist
  • Anderson, IN
National Provider Identifier
1801617196
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004543A Issued in IN
Practice address
1921 E 53Rd St
Anderson, IN 46013-3164
Phone
(765) 649-2278
NPI assigned
Oct 21, 2024
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004543A IN Primary

Addresses

Primary practice location

1921 E 53Rd St
Anderson, IN 46013-3164

Mailing address

8239 Hampton Cir E
Indianapolis, IN 46256-9348
Phone (317) 238-0071

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
I20250103001752 IN Practitioner - Optometry 4880122894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Massachusetts College of Osteopathy, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Indiana LLCGroup PAC ID 5496091316, 82 clinicians

Practice addresses (Care Compare)

105 S Raceway Rd
Suite 100
Indianapolis, IN 46231-1415
Phone (317) 273-8474

1921 E 53Rd St
Anderson, IN 46013-3164
Phone (765) 649-2278

8170 Oaklandon Rd
Suite a
Indianapolis, IN 46236-9543
Phone (630) 377-7722

9760 Lantern Rd
Fishers, IN 46037-9612
Phone (317) 577-9200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18004543AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Nov 20, 2024 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Nov 20, 2024 Accepting new patients

Locations

1921 E 53rd St
Anderson, IN 46013
Phone (765) 649-2278

2224 Cassopolis St
Elkhart, IN 46514
Phone (574) 206-1533

9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200

105 S Raceway Rd
Ste 100
Indianapolis, IN 46231
Phone (317) 273-8474

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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, 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": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1801617196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8239 HAMPTON CIR E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462569348",
            "telephone_number": "317-238-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 E 53RD ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460133164",
            "telephone_number": "765-649-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYAD",
        "first_name": "PAULINE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004543A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.