Individual provider Active NPI

Alicia Waxler, O.D.

  • Optometrist
  • Fort Wayne, IN
National Provider Identifier
1881858926
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003565 Issued in IN
Practice address
10021 Lima Rd
Fort Wayne, IN 46818-8904
Phone
(260) 416-0869
Fax
(260) 416-0873
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003565 IN Primary

Addresses

Primary practice location

10021 Lima Rd
Fort Wayne, IN 46818-8904

Mailing address

10021 Lima Rd
Doctor'S Exchange of Indiana, PC
Fort Wayne, IN 46818-8904
Phone (260) 416-0869

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
I20220730000078 IN Practitioner - Optometry 9830571314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Eye Consultants PCGroup PAC ID 2961399217, 71 clinicians

Practice addresses (Care Compare)

9426 Lima Rd
Suite C
Fort Wayne, IN 46818-8681
Phone (260) 489-5544

Merit-based Incentive Payment System (MIPS)

Final score
55.99 of 100Reported as group
Quality
31.67
Improvement activities
40
Cost
78.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003565INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Consultants P.C. Optometrist CurrentSince Jul 27, 2022 Accepting new patients
Midwest Eye Consultants, PC Optometrist CurrentSince Jul 27, 2022 Accepting new patients
Midwest Eye Consultants, P.C. Current Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
America'S Best Contacts & Eyeglasses Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist PastSince Jul 27, 2022 Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients

Locations

710 S 13th St
#52
Decatur, IN 46733
Phone (260) 724-4318

710 S 13th St
Decatur, IN 46733
Phone (260) 724-4318

1240 Medical Park Dr
Fort Wayne, IN 46825
Phone (260) 471-2375

9426 Lima Rd
Ste C
Fort Wayne, IN 46818
Phone (219) 489-5544

825 N Lincoln St
#12
Greensburg, IN 47240
Phone (812) 663-7222

301 J St
#34
Laporte, IN 46350
Phone (219) 362-8923

301 J St
Laporte, IN 46350
Phone (219) 326-9569

Organizations & group practices 8

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": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1881858926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10021 LIMA RD",
            "address_2": "DOCTOR'S EXCHANGE OF INDIANA, PC",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468188904",
            "telephone_number": "260-416-0869",
            "fax_number": "260-416-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10021 LIMA RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468188904",
            "telephone_number": "260-416-0869",
            "fax_number": "260-416-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAXLER",
        "first_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.