Individual provider Active NPI

Andrew Gilman, OD

  • Optometrist
  • Sheridan, IN
National Provider Identifier
1992189518
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003916A Issued in IN
Practice address
3901 W State Road 47 Ste 5
Sheridan, IN 46069-9256
Phone
(317) 385-4871
NPI assigned
Jul 14, 2015
Last updated
Jul 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003916A IN Primary

Addresses

Primary practice location

3901 W State Road 47 Ste 5
Sheridan, IN 46069-9256

Mailing address

3901 W State Road 47 Ste 5
Sheridan, IN 46069-9256
Phone (317) 385-4871

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
I20161110001962 IN Practitioner - Optometry 0547549750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Eyecare LTDGroup PAC ID 3173685088, 19 clinicians

Practice addresses (Care Compare)

408 W Market St
Crawfordsville, IN 47933-1600
Phone (765) 362-4893

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Eyecare LTD Optometrist CurrentSince Oct 3, 2016 Accepting new patients
Norman Eyecare LTD. Optometrist CurrentSince Oct 3, 2016 Accepting new patients
Norman Eyecare LTD. Optometrist Current Accepting new patients
Norman Eyecare LTD Optometrist Past Accepting new patients

Locations

408 W Market St
Crawfordsvlle, IN 47933
Phone (765) 362-1717

1303 S Jackson St
Frankfort, IN 46041
Phone (765) 654-8744

3901 W State Road 47
Ste 5
Sheridan, IN 46069
Phone (317) 385-4871

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1992189518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 W STATE ROAD 47 STE 5",
            "city": "SHERIDAN",
            "state": "IN",
            "postal_code": "460699256",
            "telephone_number": "317-385-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W STATE ROAD 47 STE 5",
            "city": "SHERIDAN",
            "state": "IN",
            "postal_code": "460699256",
            "telephone_number": "317-385-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMAN",
        "first_name": "ANDREW",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003916A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, IN

Sources for this page

Verify at the official NPI Registry.