Individual provider Active NPI

Amy Iddins, O.D.

  • Optometrist
  • Carmel, IN
National Provider Identifier
1992173405
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003950A Issued in IN
Practice address
14555 Hazel Dell Pkwy Ste 120
Carmel, IN 46033-7234
Phone
(317) 706-2020
Fax
(317) 706-2021
NPI assigned
Sep 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003950A IN Primary

Addresses

Primary practice location

14555 Hazel Dell Pkwy Ste 120
Carmel, IN 46033-7234

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

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
I20160715001458 IN Practitioner - Optometry 7113219833 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Jun 24, 2019 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Jun 24, 2019 Accepting new patients
Crosstown Eyecare LLC Optometrist PastSince Jul 7, 2016 Accepting new patients
Jeremy Ciano, PC Optometrist PastSince May 25, 2014 Accepting new patients

Locations

1921 E 53rd St
Anderson, IN 46013
Phone (765) 649-2278

14555 Hazel Dell Pkwy
Ste 120
Carmel, IN 46033
Phone (317) 706-2020

9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 5

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": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1992173405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 HAZEL DELL PKWY STE 120",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460337234",
            "telephone_number": "317-706-2020",
            "fax_number": "317-706-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDDINS",
        "first_name": "AMY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003950A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.