Individual provider Active NPI

Susan B. Stallings, O.D.

  • Optometrist
  • Carmel, IN
National Provider Identifier
1992944938
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002446B Issued in IN
Practice address
859 Nero CT
Carmel, IN 46032-1219
Phone
(317) 816-0151
NPI assigned
Feb 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002446B IN Primary

Addresses

Primary practice location

859 Nero CT
Carmel, IN 46032-1219

Mailing address

859 Nero CT
Carmel, IN 46032-1219
Phone (317) 816-0151

Other identifiers 1

IdentifierTypeStateIssuer
194820OtherMEDICARE PART B PROVIDER NUMBER

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
I20050222000418 IN Practitioner - Optometry 0143273904 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002446BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Linda a Frechette Inc. Optometrist CurrentSince Mar 15, 2018 Accepting new patients
Midwest Eye Consultants, PC Optometrist Past Accepting new patients

Locations

951 N Main St
Franklin, IN 46131
Phone (317) 709-6682

Organizations & group practices 2

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": "1234656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1992944938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 NERO CT",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321219",
            "telephone_number": "317-816-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 NERO CT",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321219",
            "telephone_number": "317-816-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "SUSAN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-15",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002446B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B PROVIDER NUMBER",
            "identifier": "194820",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.