Jon Richard Canida, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001886A Issued in IN

Practice address

6905 E 96TH St Ste 1100
Indianapolis, IN 46250-4449

Phone

(317) 576-9809

Fax

(317) 585-9823

NPI assigned

Jan 18, 2007

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, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Holly Lewton PC 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Dr Holly Lewton PC

  • Optometrist
  • Indianapolis, IN
  • NPI 1700177490

  IN

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1972656536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50594",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462500594",
            "telephone_number": "317-842-8444",
            "fax_number": "317-842-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 E 96TH ST STE 1100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504449",
            "telephone_number": "317-576-9809",
            "fax_number": "317-585-9823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6020 E 82nd St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462504746",
            "country_code": "US",
            "telephone_number": "317-842-8444",
            "fax_number": "317-842-8649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANIDA",
        "first_name": "JON",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001886A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cancer Care Group, P.C.
• Martha Anna Cancilla, MD
• Candicare Home Care LLC
• Jeffrey M. Canfield, D.D.S.
• Nancy S. Cangany, M.S., L.G.C., C.G.C.
• Ellen Annette Cannady, PHARMD,PHD
• Jesse Peter Cannella
• Abigail Cannon
• Amy Alicia Cannon, LCSW
• Corynn E Cannon, PA-C

• All providers in Indianapolis, IN
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.