Individual provider Active NPI

Mary W Vanhoy, OD

  • Vision Therapy Optometrist
  • Indianapolis, IN
National Provider Identifier
1972683514
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
18001568B Issued in IN
Practice address
1250 E County Line Rd
Suite
Indianapolis, IN 46227-1004
Phone
(317) 882-1527
Fax
(317) 882-4092
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 18001568B IN Primary

Addresses

Primary practice location

1250 E County Line Rd
Suite
Indianapolis, IN 46227-1004

Mailing address

624 E Walnut St Apt 110
Indianapolis, IN 46204-1639
Phone (317) 687-9717

Other identifiers 3

IdentifierTypeStateIssuer
351850049100OtherINCARESOURCE
I001713OtherINCHAMPUS
000000208291OtherINBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 24, 2014 through Jun 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18001568BINMDVision Therapy Optometrist

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972683514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 E WALNUT ST APT 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041639",
            "telephone_number": "317-687-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E COUNTY LINE RD",
            "address_2": "SUITE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271004",
            "telephone_number": "317-882-1527",
            "fax_number": "317-882-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHOY",
        "first_name": "MARY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "IN",
            "license": "18001568B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "351850049100",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "I001713",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000208291",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.