Individual provider Active NPI

Nytarsha Thomas, OD

  • Optometrist
  • Zionsville, IN
National Provider Identifier
1831477215
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003780A Issued in IN
Practice address
6618 Whitestown Pkwy
Zionsville, IN 46077-7622
Phone
(317) 769-3937
NPI assigned
Aug 2, 2011
Last updated
Sep 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14272 CA
Optometrist 152W00000X 18003780A IN Primary

Addresses

Primary practice location

6618 Whitestown Pkwy
Zionsville, IN 46077-7622

Mailing address

6618 Whitestown Pkwy
Zionsville, IN 46077-7622
Phone (317) 769-3937

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
I20140110000875 IN Practitioner - Optometry 6709057904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6618 Whitestown Pkwy
Zionsville, IN 46077-7622
Phone (832) 259-4137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
18003780AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionelle Eyecare Inc CurrentSince Aug 26, 2015 Accepting new patients
Golden State Eye Medical Group Inc Optometrist PastSince Jan 26, 2003 Accepting new patients
Richard Alexan MD Inc PastSince Jul 1, 2008 Accepting new patients
Janet Dehart OD Gregg German OD Past Accepting new patients

Locations

6618 Whitestown Pkwy
Zionsville, IN 46077
Phone (317) 769-3937

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, 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": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1831477215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6618 WHITESTOWN PKWY",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460777622",
            "telephone_number": "317-769-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6618 WHITESTOWN PKWY",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460777622",
            "telephone_number": "317-769-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "NYTARSHA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14272",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003780A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

Verify at the official NPI Registry.