Individual provider Active NPI

Jeremy Ciano, OD

  • Optometrist
  • Carmel, IN
National Provider Identifier
1962526392
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003155A Issued in IN
Practice address
14250 Clay Terrace Blvd
#160
Carmel, IN 46032-3632
Phone
(317) 844-2020
Fax
(317) 730-1400
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003155A IN Primary

Addresses

Primary practice location

14250 Clay Terrace Blvd
#160
Carmel, IN 46032-3632

Mailing address

2157 Mustang Chase Dr
Westfield, IN 46074-8185
Phone (317) 730-1400

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
I20080312000096 IN Practitioner - Optometry 2365527520

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14250 Clay Terrace Blvd
Suite 160
Carmel, IN 46032-3633
Phone (317) 844-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003155AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Eyes 2 LLC Current Accepting new patients
Revolutioneyes 2 LLC Optometrist Current Accepting new patients
Little Eyes, Inc. Optometrist Past Accepting new patients
Lauck & McLean P C Optometrist Past Accepting new patients

Organizations & group practices 4

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1962526392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 MUSTANG CHASE DR",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748185",
            "telephone_number": "317-730-1400",
            "fax_number": "317-844-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14250 CLAY TERRACE BLVD",
            "address_2": "#160",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323632",
            "telephone_number": "317-844-2020",
            "fax_number": "317-730-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIANO",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003155A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.