Individual provider Active NPI

Glenn A Kirk, OD

  • Corneal and Contact Management Optometrist
  • Indianapolis, IN
National Provider Identifier
1821096330
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
18002736A Issued in IN
Practice address
1901 N Meridian St
Indianapolis, IN 46202-1303
Phone
(317) 925-2200
Fax
(317) 921-6609
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 18002736A IN Primary

Addresses

Primary practice location

1901 N Meridian St
Indianapolis, IN 46202-1303

Mailing address

1901 N Meridian St
Indianapolis, IN 46202-1303
Phone (317) 925-2200

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
I20101122000825 IN Practitioner - Optometry 9335335934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Specialists of Indiana PCGroup PAC ID 5193754265, 12 clinicians

Practice addresses (Care Compare)

1901 N Meridian St
Indianapolis, IN 46202-1303
Phone (317) 925-2200

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as group
Quality
100
Improvement activities
40
Cost
83.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002736AINMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Specialist of Indiana, P.C. CurrentSince Nov 1, 1995 Accepting new patients
Eye Specialists of Indiana, PC CurrentSince Nov 1, 1995 Accepting new patients
Major Hospital Past Accepting new patients
Surgery Center of Eye Specialists of Indiana, PC Past Accepting new patients

Locations

1101 W Jefferson St
Franklin, IN 46131
Phone (317) 736-8373

1101 W Jefferson St
Ste F
Franklin, IN 46131
Phone (317) 738-2020

1950 W 86th St
Indianapolis, IN 46260
Phone 3179204575307

1901 N Meridian St
Indianapolis, IN 46202
Phone (317) 925-2200

3530 S Keystone Ave
Indianapolis, IN 46227
Phone (317) 925-2200

1828 N Meridian St
Ste 123
Indianapolis, IN 46202
Phone (317) 925-2200

1055 S Hunt St
Terre Haute, IN 47803
Phone (317) 925-2200

Interoperability endpoints

  • Direct secure messaging: gkirk@esin.intellechartdirect.net

Organizations & group practices 4

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821096330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021303",
            "telephone_number": "317-925-2200",
            "fax_number": "317-921-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021303",
            "telephone_number": "317-925-2200",
            "fax_number": "317-921-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "GLENN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IN",
            "license": "18002736A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.