Individual provider Active NPI

Deborah Plass, O.D.

  • Optometrist
  • Bloomington, IN
National Provider Identifier
1902867500
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002822 Issued in IN
Practice address
800 E Atwater Ave
Bloomington, IN 47405-3635
Phone
(812) 855-4447
NPI assigned
Mar 31, 2006
Last updated
Oct 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002822 IN Primary

Addresses

Primary practice location

800 E Atwater Ave
Bloomington, IN 47405-3635

Mailing address

800 E Atwater Ave
Bloomington, IN 47405-3635
Phone (812) 855-4447

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
I20101210000317 IN Practitioner - Optometry 5395932743 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002822INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Optometrist CurrentSince Feb 1, 1998 Accepting new patients
Indiana University CurrentSince Feb 1, 1998 Accepting new patients
Indiana University Optometrist Past Accepting new patients

Locations

800 E Atwater Ave
Bloomington, IN 47405
Phone (812) 855-4447

1160 W Michigan St
Ste 100
Indianapolis, IN 46202
Phone (317) 278-1470

501 Indiana Ave
Ste 100
Indianapolis, IN 46202
Phone (317) 321-1470

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1902867500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E ATWATER AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474053635",
            "telephone_number": "812-855-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E ATWATER AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474053635",
            "telephone_number": "812-855-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASS",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.