Julie S Didat, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002547A Issued in IN

Practice address

2127 Edsel LN NW
Corydon, IN 47112-2030

Phone

(812) 738-1707

Fax

(812) 738-9054

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Corydon Optical Inc

  • Optometrist
  • Corydon, IN
  • NPI 1265946362

  IN, Optometrist

  Medicare reassignment NPD

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821179441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 EDSEL LN NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122168",
            "telephone_number": "812-738-1707",
            "fax_number": "812-738-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 EDSEL LN NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122030",
            "telephone_number": "812-738-1707",
            "fax_number": "812-738-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDAT",
        "first_name": "JULIE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002547A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100116680B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Davis Drug Store, Inc.
• Kimberly Dawson
• Day Dental PC
• Christopher Matthew Day, M.D.
• Michelle Marie Dicostanzo, MD
• Jennifer N Disney, P.T.
• Jeanie Marie Doan, FNP
• Doctor Contract Services, LLC
• Debra S Dougherty, ARNP
• Dr Keith Wein DC PSC

• All providers in Corydon, IN
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.