Active NPI
Thomas C Fitzgerald, O.D.
- Optometrist
- New Castle, IN
National Provider Identifier
1992876858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002815B
- Practice address
- 3167 S State Road 3
New Castle, IN 47362-1318 - Phone
- (765) 597-0788
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002815B | IN | Primary |
Addresses
Primary practice location
3167 S State Road 3
New Castle, IN 47362-1318
Mailing address
6140 Chadworth Way
Indianapolis, IN 46236-8291
Phone (317) 826-0138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002815B | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dan Wendorff OD PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Corneal and Contact Management Optometrist
- Indianapolis, IN
- NPI 1194802694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992876858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6140 CHADWORTH WAY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462368291",
"telephone_number": "317-826-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3167 S STATE ROAD 3",
"city": "NEW CASTLE",
"state": "IN",
"postal_code": "473621318",
"telephone_number": "765-597-0788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "THOMAS",
"middle_name": "C",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002815B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Castle, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.