Individual provider Active NPI

Julia Nolte, O.D.

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1932264744
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002810 Issued in IN
Practice address
77 S. Girl School Rd.
103
Indianapolis, IN 46231
Phone
(317) 486-9427
Fax
(317) 486-9429
NPI assigned
Dec 22, 2006
Last updated
May 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002810 IN Primary

Addresses

Primary practice location

77 S. Girl School Rd.
103
Indianapolis, IN 46231

Mailing address

77 S. Girl School Rd.
103
Indianapolis, IN 46231
Phone (317) 486-9427

Other identifiers 1

IdentifierTypeStateIssuer
200425630MedicaidIN

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
I20130517000178 IN Practitioner - Optometry 2961517966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

77 S Girls School Rd
Indianaoplis, IN 46231-1170

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
E M a Enterprises Inc Optometrist CurrentSince Jan 18, 2002 Accepting new patients

Locations

77 S Girls School Rd
Ste 103
Indianapolis, IN 46231
Phone (317) 486-9427

Organizations & group practices 1

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1932264744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 S. GIRL SCHOOL RD.",
            "address_2": "103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46231",
            "telephone_number": "317-486-9427",
            "fax_number": "317-486-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 S. GIRL SCHOOL RD.",
            "address_2": "103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46231",
            "telephone_number": "317-486-9427",
            "fax_number": "317-486-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLTE",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200425630",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.