Individual provider Active NPI

Timothy Charles Birtwhistle, O.D.

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1881893535
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003458B Issued in IN
Practice address
4040 E 82ND St
Suite C7
Indianapolis, IN 46250-4360
Phone
(317) 595-8855
NPI assigned
Jul 13, 2007
Last updated
Nov 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003458B IN Primary

Addresses

Primary practice location

4040 E 82ND St
Suite C7
Indianapolis, IN 46250-4360

Mailing address

8202 N Meridian St
Indianapolis, IN 46260-2955
Phone (317) 595-8855

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
I20071113000492 IN Practitioner - Optometry 1254429913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Indiana LLCGroup PAC ID 5496091316, 82 clinicians

Practice addresses (Care Compare)

3902 E 82ND St
Indianapolis, IN 46240-2467
Phone (317) 595-8855

4335 E 82ND St
Suite 105
Indianapolis, IN 46250-1699
Phone (463) 403-6439

8890 E 116TH St
Suite 190
Fishers, IN 46038-2857
Phone (317) 913-0700

9760 Lantern Rd
Fishers, IN 46037-9612
Phone (317) 577-9200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003458BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Oct 13, 2025 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Oct 13, 2025 Accepting new patients
Progressive Vision Group Inc Optometrist PastSince Dec 1, 2011 Accepting new patients

Locations

2224 Cassopolis St
Elkhart, IN 46514
Phone (574) 206-1533

8890 E 116th St
Ste 190
Fishers, IN 46038
Phone (317) 913-0700

9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200

3902 E 82nd St
Indianapolis, IN 46240
Phone (317) 595-8855

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1881893535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602955",
            "telephone_number": "317-595-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 E 82ND ST",
            "address_2": "SUITE C7",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504360",
            "telephone_number": "317-595-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRTWHISTLE",
        "first_name": "TIMOTHY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003458B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.