Organization Active NPI

Elsbury Optometry PC

Doing business as Duane Elsbury OD

  • Optometrist
  • Greenfield, IN
National Provider Identifier
1952999633
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ELSBURY OPTOMETRY PC
Doing business as
Duane Elsbury OD
Practice address
846 N State St
Greenfield, IN 46140-1201
Phone
(317) 462-3326
Fax
(317) 462-3326
NPI assigned
Jan 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Dr. Duane T Elsbury, ODNPI 1811371503
Title
Owner/President
Phone
(317) 462-3326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

846 N State St
Greenfield, IN 46140-1201

Mailing address

846 N State St
Greenfield, IN 46140-1201
Phone (317) 462-3326

Other names 1

  • Duane Elsbury OD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210427000457 IN Part B Supplier - Clinic/Group Practice 3870901150 Receives reassigned benefits from 2 practitioners
Practice locations: Greenfield, IN
O20220519001966 IN DME Supplier - Physician - Optometrist 3870901150 Practice locations: Greenfield, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Elsbury Optometry PC846 N State St, Greenfield, IN 46140-1201(317) 462-3326 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Does not accept assignmentParticipating since Jan 1, 2022

National Provider Directory

National Provider Directory

Locations

846 N State St
Greenfield, IN 46140
Phone (317) 462-3326

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1952999633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 N STATE ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401201",
            "telephone_number": "317-462-3326",
            "fax_number": "317-462-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 N STATE ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401201",
            "telephone_number": "317-462-3326",
            "fax_number": "317-462-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSBURY OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "ELSBURY",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "317-462-3326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duane Elsbury OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.