Individual provider Active NPI

Grace Rewolinski, OD

  • Optometrist
  • Jasper, IN
National Provider Identifier
1891684551
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004598A Issued in IN
Practice address
501 Clay St
Jasper, IN 47546-3125
Phone
(812) 482-6010
NPI assigned
Jun 30, 2025
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004598A IN Primary

Addresses

Primary practice location

501 Clay St
Jasper, IN 47546-3125

Mailing address

1407 Abby LN
Huntingburg, IN 47542-0189
Phone (765) 713-6971

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
I20250814003300 IN Practitioner - Optometry 9739688029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evans Eye Care IncGroup PAC ID 9830169234, 33 clinicians
Clay Street Eyecare PCGroup PAC ID 7012919731, 2 clinicians

Practice addresses (Care Compare)

1221 S Creasy LN
Suite a
Lafayette, IN 47905-7430
Phone (765) 447-4951

501 Clay St
Jasper, IN 47546-3125
Phone (812) 482-6010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clay Street Eyecare P.C. Optometrist CurrentSince Jun 15, 2026 Accepting new patients
Evans Eye Care Inc Optometrist CurrentSince Jul 20, 2025 Accepting new patients
Gordon R. Boyd O.D.,P.C. Past Accepting new patients

Locations

1485 S Grant Ave
Ste A
Crawfordsvlle, IN 47933
Phone (317) 362-3209

501 Clay St
Jasper, IN 47546
Phone (812) 482-2155

1221 S Creasy Ln
Ste A
Lafayette, IN 47905
Phone (765) 447-4951

2200 Elmwood Ave
Ste D4
Lafayette, IN 47904
Phone (765) 446-2814

3526 Osborne Ln
Lafayette, IN 47909
Phone (765) 447-4951

Organizations & group practices 3

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": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1891684551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 ABBY LN",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "475420189",
            "telephone_number": "765-713-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CLAY ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463125",
            "telephone_number": "812-482-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REWOLINSKI",
        "first_name": "GRACE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004598A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.