Organization Active NPI

Ophthalmic Plastic Surgery Inc

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Carmel, IN
National Provider Identifier
1831129790
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
Legal business name
OPHTHALMIC PLASTIC SURGERY INC
Practice address
11220 Illinois St Ste 220
Carmel, IN 46032-9847
Phone
(317) 817-1976
Fax
(317) 817-1737
NPI assigned
Jul 4, 2006
Last updated
May 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Crystal Lynn Shearer, BA
Title
Director of Operations
Phone
(317) 817-1976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X NU Primary

Addresses

Primary practice location

11220 Illinois St Ste 220
Carmel, IN 46032-9847

Mailing address

11220 Illinois St Ste 220
Carmel, IN 46032-9847
Phone (317) 817-1976

Other practice location 1

422 Poplar St
Terre Haute, IN 47807-4209
Phone (317) 817-1976

Other practice location 2

965 Emerson Pkwy Ste A
Greenwood, IN 46143-6274
Phone (317) 817-1976

Other practice location 3

7920 W Jefferson Blvd Ste 230
Fort Wayne, IN 46804-4166
Phone (317) 817-1976

Other practice location 4

1901 16th St
Bedford, IN 47421-2745
Phone (317) 817-1976

Other practice location 5

9046 Columbia Ave Ste B
Munster, IN 46321-2905
Phone (317) 817-1976

Other practice location 6

5091 W Bethel Ave Ste 150
Muncie, IN 47304-8511
Phone (317) 817-1976

Other practice location 7

707 N Michigan St Ste 218
South Bend, IN 46601-1069
Phone (317) 817-1976

Other practice location 8

900 I St
LA Porte, IN 46350-5533
Phone (317) 817-1976

Other identifiers 1

IdentifierTypeStateIssuer
100065050MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050701000696 IN Part B Supplier - Clinic/Group Practice 6800832635 Receives reassigned benefits from 6 practitioners
Practice locations: Merrillville, IN; Michigan City, IN; Mishawaka, IN; Terre Haute, IN; La Porte, IN; Indianapolis, IN; Muncie, IN; Munster, IN…

National Provider Directory

National Provider Directory

Locations

1603 S Scatterfield Rd
Anderson, IN 46016
Phone (765) 644-2020

10300 N Illinois St
Ste 2020
Carmel, IN 46290
Phone (317) 817-1973

10300 N Illinois St
Ste 2400
Carmel, IN 46290
Phone (317) 278-5050

11220 Illinois St
Ste 220
Carmel, IN 46032

11130 Parkview Circle Dr
Fort Wayne, IN 46845
Phone (260) 266-6221

7920 W Jefferson Blvd
Ste 230
Fort Wayne, IN 46804
Phone (260) 432-7600

1100 W Michigan St
Indianapolis, IN 46202

5091 W Bethel Ave
Muncie, IN 47304
Phone (317) 841-2020

9046 Columbia Ave
#B
Munster, IN 46321
Phone (219) 836-8428

4233 Gateway Blvd
Fl 3
Newburgh, IN 47630

615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000

707 N Michigan St
Ste 218
South Bend, IN 46601
Phone (574) 514-1056

Interoperability endpoints

  • Direct secure messaging: jgeng@meiops.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1831129790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 ILLINOIS ST STE 220",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329847",
            "telephone_number": "317-817-1976",
            "fax_number": "317-817-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 ILLINOIS ST STE 220",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329847",
            "telephone_number": "317-817-1976",
            "fax_number": "317-817-1737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "422 Poplar St",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478074209",
            "country_code": "US",
            "telephone_number": "317-817-1976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "965 Emerson Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461436274",
            "country_code": "US",
            "telephone_number": "317-817-1976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7920 W Jefferson Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044166",
            "country_code": "US",
            "telephone_number": "317-817-1976",
            "fax_number": "317-817-1737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 16th St",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "IN",
            "postal_code": "474212745",
            "country_code": "US",
            "telephone_number": "317-817-1976",
            "fax_number": "317-817-1737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9046 Columbia Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212905",
            "country_code": "US",
            "telephone_number": "317-817-1976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5091 W Bethel Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473048511",
            "country_code": "US",
            "telephone_number": "317-817-1976",
            "fax_number": "317-817-1737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 N Michigan St Ste 218",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466011069",
            "country_code": "US",
            "telephone_number": "317-817-1976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 I St",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463505533",
            "country_code": "US",
            "telephone_number": "317-817-1976",
            "fax_number": "317-817-1737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPHTHALMIC PLASTIC SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "SHEARER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "317-817-1976",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100065050",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.