| Indiana University | |
|
1160 W Michigan St Ste 100, Indianapolis, IN 46202-5209 | |
| (317) 278-1470 | |
| (317) 274-1475 |
| Full Name | Indiana University |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1160 W Michigan St Ste 100, Indianapolis, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497799787 | NPI | - | NPPES |
| 100237690A | Medicaid | IN | |
| 000000105532 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jennifer G Page |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134198708 PECOS PAC ID: 2264402288 Enrollment ID: I20040728000407 |
| Provider Name | Elli J Kollbaum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851360648 PECOS PAC ID: 7113998220 Enrollment ID: I20040803000801 |
| Provider Name | Kimberly Dawn Kohne |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659330256 PECOS PAC ID: 5698735173 Enrollment ID: I20041019000418 |
| Provider Name | Stephanie A Klemencic |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659340925 PECOS PAC ID: 3577590199 Enrollment ID: I20050725001125 |
| Provider Name | Don W Lyon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992774509 PECOS PAC ID: 2264448778 Enrollment ID: I20060221000558 |
| Provider Name | Michael G Orr |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144264136 PECOS PAC ID: 8820005259 Enrollment ID: I20060309000619 |
| Provider Name | Jeffrey David Perotti |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174592992 PECOS PAC ID: 6608883764 Enrollment ID: I20060314000610 |
| Provider Name | Todd D Peabody |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134108665 PECOS PAC ID: 8628179736 Enrollment ID: I20070719000350 |
| Provider Name | Jacqueline M Jenkins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639162811 PECOS PAC ID: 9638250442 Enrollment ID: I20080118000151 |
| Provider Name | Christopher Clark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376700658 PECOS PAC ID: 7214091578 Enrollment ID: I20090130000580 |
| Provider Name | Khashayar Tonekaboni |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770552788 PECOS PAC ID: 1456402569 Enrollment ID: I20090701000430 |
| Provider Name | Shirin E Hassan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801039235 PECOS PAC ID: 6709938913 Enrollment ID: I20090720000383 |
| Provider Name | Jane Ann Grogg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609845221 PECOS PAC ID: 0749315091 Enrollment ID: I20100312000022 |
| Provider Name | Bradley M Sutton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922077221 PECOS PAC ID: 9830249903 Enrollment ID: I20101201000235 |
| Provider Name | Deborah J Plass |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902867500 PECOS PAC ID: 5395932743 Enrollment ID: I20101210000317 |
| Provider Name | Julie K Torbit |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811966583 PECOS PAC ID: 2163619537 Enrollment ID: I20101210000492 |
| Provider Name | Susan Kovacich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700855327 PECOS PAC ID: 8022298181 Enrollment ID: I20110207000262 |
| Provider Name | Patricia A Henderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124097472 PECOS PAC ID: 3274510557 Enrollment ID: I20110210000278 |
| Provider Name | Neil Alan Pence |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689643520 PECOS PAC ID: 2163609801 Enrollment ID: I20110607000408 |
| Provider Name | Anna Kathryn Bedwell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154637254 PECOS PAC ID: 3678746864 Enrollment ID: I20111103000545 |
| Provider Name | Nathan Paul Otte |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790946499 PECOS PAC ID: 9830266428 Enrollment ID: I20131203000104 |
| Provider Name | Brett Joseph King |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083663488 PECOS PAC ID: 8123078102 Enrollment ID: I20140121001911 |
| Provider Name | Katie S Connolly |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164837506 PECOS PAC ID: 8921225780 Enrollment ID: I20140819001014 |
| Provider Name | Hin Cheung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548677388 PECOS PAC ID: 6305063173 Enrollment ID: I20140819001314 |
| Provider Name | Jason Jedlicka |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669484622 PECOS PAC ID: 2062462211 Enrollment ID: I20141016001874 |
| Provider Name | Kimberly Warner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265815856 PECOS PAC ID: 6709199953 Enrollment ID: I20150717000792 |
| Provider Name | Andrea M Rope |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659501476 PECOS PAC ID: 9537442660 Enrollment ID: I20170215000266 |
| Provider Name | Donald R Faimon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639124761 PECOS PAC ID: 2668409640 Enrollment ID: I20170822001637 |
| Provider Name | Emily Ruth Hable |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619350592 PECOS PAC ID: 5991083222 Enrollment ID: I20170922002738 |
| Provider Name | Stephanie L Gee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578122925 PECOS PAC ID: 6204160138 Enrollment ID: I20190627000494 |
| Provider Name | Larissa Elizabeth Krenk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679134498 PECOS PAC ID: 1456685916 Enrollment ID: I20190703000771 |
| Provider Name | Natalie Eve Decook |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356993844 PECOS PAC ID: 4789910043 Enrollment ID: I20190724001002 |
| Provider Name | Jesal Haribhakti |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689221350 PECOS PAC ID: 5294063285 Enrollment ID: I20190829001256 |
| Provider Name | Anna Ablamowicz Tichenor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316372303 PECOS PAC ID: 6709012586 Enrollment ID: I20190920001007 |
| Provider Name | Meret Thomas-huebner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437774486 PECOS PAC ID: 0547682627 Enrollment ID: I20200618000104 |
| Provider Name | Nitya Murthy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568091551 PECOS PAC ID: 4284057738 Enrollment ID: I20200701000476 |
| Provider Name | Samantha Dodda |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104443720 PECOS PAC ID: 1052734464 Enrollment ID: I20200701002879 |
| Provider Name | Richard Trevino |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609808799 PECOS PAC ID: 7810131752 Enrollment ID: I20210503000862 |
| Provider Name | Andrew Henderson Huck |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346770005 PECOS PAC ID: 8527336288 Enrollment ID: I20210504001249 |
| Provider Name | Fengqi Zhou |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063080711 PECOS PAC ID: 5395145833 Enrollment ID: I20210621001448 |
| Provider Name | Gaia Hess |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861061939 PECOS PAC ID: 4082015201 Enrollment ID: I20210625000982 |
| Provider Name | Jenna Lee Wellen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174193924 PECOS PAC ID: 9537560669 Enrollment ID: I20210628001623 |
| Provider Name | Brooke Danielle Tobias |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427628668 PECOS PAC ID: 6002218070 Enrollment ID: I20210713003023 |
| Provider Name | Ahmar Sajjad |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982066254 PECOS PAC ID: 1850688417 Enrollment ID: I20210719003370 |
| Provider Name | Kierstyn Napier Dovorany |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164454492 PECOS PAC ID: 5294822722 Enrollment ID: I20220127001745 |
| Provider Name | Andrea M Leonard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477297745 PECOS PAC ID: 6103205786 Enrollment ID: I20220628002850 |
| Provider Name | Zackary Hart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144952474 PECOS PAC ID: 4789063371 Enrollment ID: I20220628003067 |
| Provider Name | Grace Marie Brasel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619548583 PECOS PAC ID: 1052714748 Enrollment ID: I20220630001114 |
| Provider Name | Rachel D Slater Whitt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679207377 PECOS PAC ID: 4981085495 Enrollment ID: I20220714003285 |
| Provider Name | Matthew Keller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871227280 PECOS PAC ID: 7810378338 Enrollment ID: I20220714003680 |
| Provider Name | Miranda M Geisinger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366179798 PECOS PAC ID: 1153703087 Enrollment ID: I20220809001227 |
| Provider Name | Ellie Crossman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235814898 PECOS PAC ID: 8022476977 Enrollment ID: I20230625000046 |
| Provider Name | Brent Michael Hume |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679003420 PECOS PAC ID: 1951742824 Enrollment ID: I20240509000283 |
| Provider Name | Kristen Bowles-johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689947590 PECOS PAC ID: 9830348259 Enrollment ID: I20240521002570 |
| Provider Name | Allison Marie Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912748245 PECOS PAC ID: 0749722262 Enrollment ID: I20240611003877 |
| Provider Name | Sidney Aldrian Reynes Magdaong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174364178 PECOS PAC ID: 8527500099 Enrollment ID: I20240612001236 |
| Provider Name | Laura Moyer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255175451 PECOS PAC ID: 4688118631 Enrollment ID: I20240701002825 |
| Provider Name | Gillian Uldrich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205672748 PECOS PAC ID: 4183169329 Enrollment ID: I20240712000859 |
| Provider Name | Tristan Michael Long |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780021667 PECOS PAC ID: 7517108715 Enrollment ID: I20250519003397 |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana University Po Box 7079, Indianapolis, IN 46207-7079 Ph: (317) 278-1470 | Indiana University 1160 W Michigan St Ste 100, Indianapolis, IN 46202-5209 Ph: (317) 278-1470 |
The Health And Hospital Corporation Of Marion County Optometrist Medicare: Medicare Enrolled Practice Location: 720 Eskenazi Ave., C6-104, Indianapolis, IN 46202 Phone: 317-880-8552 | |
Myeyedr Optometry Of Indiana, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6905 E 96th St Ste 1100, Indianapolis, IN 46250 Phone: 317-576-9809 Fax: 317-585-9823 | |
Julia L Blank, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4551 Sylvan Rd, Indianapolis, IN 46228 Phone: 317-329-8462 | |
Nhi Thi Tuyet Nguyen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1901 N Meridian Street, Indianapolis, IN 46202 Phone: 317-925-2200 Fax: 317-921-0886 | |
Gloria C Jennings, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1717 W 86th St, Suite 130, Indianapolis, IN 46260 Phone: 317-876-1112 Fax: 317-876-2187 | |
Arthur D Fisher, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 350 E New York St, Suite 250, Indianapolis, IN 46204 Phone: 317-634-8617 | |
Michael Schottman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4200 S East St, Indianapolis, IN 46227 Phone: 217-821-5346 |