Individual provider Active NPI

Jessica Renae McEllhiney, O.D.

  • Optometrist
  • Princeton, IN
National Provider Identifier
1902118987
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003638A Issued in IN
Practice address
516 N Main St
Princeton, IN 47670-1406
Phone
(812) 385-4857
NPI assigned
Jul 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003638A IN Primary

Addresses

Primary practice location

516 N Main St
Princeton, IN 47670-1406

Mailing address

516 N Main St
Princeton, IN 47670-1406
Phone (812) 385-4857

Other names 1

  • Jessica Renae Hary Former name

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
I20100805000358 IN Practitioner - Optometry 4183757545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

516 N Main St
Dr Linda S Neuhoff OD PC
Princeton, IN 47670-1406
Phone (812) 385-4857

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson County Eyecare Optometrist CurrentSince Nov 9, 2021 Accepting new patients
Vision Care Center LLC Optometrist CurrentSince May 16, 2017 Accepting new patients
Vision Care Center LLC Optometrist CurrentSince May 16, 2017 Accepting new patients
Gibson County Eyecare Inc Optometrist CurrentSince Oct 1, 2016 Accepting new patients
Daniel & Max Optometrist PastSince Feb 21, 2021 Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

4233 Gateway Blvd
Newburgh, IN 47630
Phone (812) 474-7116

516 N Main St
Princeton, IN 47670
Phone (812) 385-4857

Interoperability endpoints

  • Direct secure messaging: jessicam@gibsoncountyeyecare.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1902118987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 N MAIN ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701406",
            "telephone_number": "812-385-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N MAIN ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701406",
            "telephone_number": "812-385-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELLHINEY",
        "first_name": "JESSICA",
        "middle_name": "RENAE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-07",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003638A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HARY",
            "middle_name": "RENAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Princeton, IN

Sources for this page

Verify at the official NPI Registry.