Isaac Gottschalk, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18004495A Issued in IN

Practice address

1400 N Baldwin Ave
Marion, IN 46952-1929

Phone

(765) 664-6148

NPI assigned

Jun 3, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Eye Consultants PCGroup PAC ID 2961399217, 71 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Midwest Eye Consultants, P.C.

  • Ophthalmology Physician
  • Fort Wayne, IN
  • NPI 1912960535

  IN

  Medicare reassignment Care Compare group NPD
• Midwest Eye Consultants, P.C.

  • Ambulatory Surgical Clinic/Center
  • Fort Wayne, IN
  • NPI 1093778052
  Care Compare group
• Midwest Eye Consultants, P.C.

  • Ophthalmology Physician
  • Indianapolis, IN
  • NPI 1275881765
  Care Compare group
• Midwest Eye Consultants, P.C.

  • Optometrist
  • Tipton, IN
  • NPI 1366405714
  Care Compare group
• Midwest Eye Consultants, P.C.

  • Ambulatory Surgical Clinic/Center
  • Mishawaka, IN
  • NPI 1467032862
  Care Compare group
• Midwest Eye Consultants, P.C.

  • Optometrist
  • Fort Wayne, IN
  • NPI 1538558556
  Care Compare group
• Midwest Eye Consultants, P.C.

  • Optometrist
  • Fort Wayne, IN
  • NPI 1649654526
  Care Compare group
• Midwest Eye Consultants, P.C.

  • Ambulatory Surgical Clinic/Center
  • Greenwood, IN
  • NPI 1841984390
  Care Compare group
• Midwest Eye Consultants, P.C.

  • Optometrist
  • Granger, IN
  • NPI 1861882797
  Care Compare group
• Midwest Eye Consultants, P.C.

  • Optometrist
  • Shipshewana, IN
  • NPI 1952607780
  Care Compare group
• Midwest Eye Consultants, PC

  • Optometrist
  • South Bend, IN
  • NPI 1780980516
  Care Compare group
• Midwest Eye Consultants, PC

  • Ambulatory Surgical Clinic/Center
  • Fort Wayne, IN
  • NPI 1982576286
  Care Compare group

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1962243121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N BALDWIN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N BALDWIN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521929",
            "telephone_number": "765-664-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTSCHALK",
        "first_name": "ISAAC",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004495A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Goodwin, MS CFY-SLP
• Gorman Center for Orthodontics
• John Courtney Gorman, D.D.S., M.S.
• Jessica Gormong, RBT
• Lori Goss-Reaves, LCSW
• Sarah Marie Gove, DDS
• Sarah Margarita Grace
• Elizabeth Graham, RBT
• Grant Ambulatory Surgery Center, LLC
• Grant County Auditor

• All providers in Marion, IN
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.