| Onhealthcare Optometry | |
|
8425 Woodfield Crossing Blvd, Suite 136, Indianapolis, IN 46240-7315 | |
| (317) 554-0555 | |
| (248) 528-2963 |
| Full Name | Onhealthcare Optometry |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 8425 Woodfield Crossing Blvd, 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 |
|---|---|---|---|
| 1417220369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18003492A (Indiana) | Primary |
| Provider Name | Daryl Kinshasa Jenkins |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245215318 PECOS PAC ID: 0042280935 Enrollment ID: I20040728001020 |
| Provider Name | Sherese R Dillon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598730020 PECOS PAC ID: 0042283178 Enrollment ID: I20040817000943 |
| Provider Name | Lee Anne Chambers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306988159 PECOS PAC ID: 7214904184 Enrollment ID: I20040911000171 |
| Provider Name | Andrea M Shook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528007192 PECOS PAC ID: 6406818343 Enrollment ID: I20041102000784 |
| Provider Name | James H Cheviron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588806103 PECOS PAC ID: 9830156579 Enrollment ID: I20041215000070 |
| Provider Name | Bradley R Hammersley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295780872 PECOS PAC ID: 2567419542 Enrollment ID: I20050401000255 |
| Provider Name | Bobby Boyd Hatfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942272992 PECOS PAC ID: 5193766442 Enrollment ID: I20050517000409 |
| Provider Name | Vikki L Reiter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972605103 PECOS PAC ID: 1052346020 Enrollment ID: I20050928000715 |
| Provider Name | Dusky Rideout Farmer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114904935 PECOS PAC ID: 1456365998 Enrollment ID: I20060203000296 |
| Provider Name | Nancy L Lykins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386682839 PECOS PAC ID: 8820097157 Enrollment ID: I20061213000474 |
| Provider Name | Kelly L Mccain |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1053513994 PECOS PAC ID: 3577641901 Enrollment ID: I20080424000609 |
| Provider Name | Patricia A Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245407741 PECOS PAC ID: 3476628249 Enrollment ID: I20080814000099 |
| Provider Name | Laura L Fragomeni |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1750531950 PECOS PAC ID: 5092873810 Enrollment ID: I20081023000435 |
| Provider Name | Michael A Ashley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801899059 PECOS PAC ID: 2668546045 Enrollment ID: I20081223000023 |
| Provider Name | Barbara A Mickler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356454896 PECOS PAC ID: 5890851455 Enrollment ID: I20090305000436 |
| Provider Name | Tyler R Hudson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750518346 PECOS PAC ID: 3971659624 Enrollment ID: I20090922000011 |
| Provider Name | Della J Busby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215039144 PECOS PAC ID: 0446211726 Enrollment ID: I20100405000411 |
| Provider Name | Alexis A Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003034364 PECOS PAC ID: 2668669482 Enrollment ID: I20101206001137 |
| Provider Name | Anthony P Farley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326341843 PECOS PAC ID: 6709075955 Enrollment ID: I20110104001039 |
| Provider Name | Ronald Hoyle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588788400 PECOS PAC ID: 0042302598 Enrollment ID: I20110324001010 |
| Provider Name | Erin M Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083911234 PECOS PAC ID: 9436332384 Enrollment ID: I20110330000549 |
| Provider Name | Cherie Arnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356399331 PECOS PAC ID: 2163609942 Enrollment ID: I20110603000002 |
| Provider Name | Donna J Ganote |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013041870 PECOS PAC ID: 8325226319 Enrollment ID: I20110622000003 |
| Provider Name | Dee A Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710274931 PECOS PAC ID: 4880865914 Enrollment ID: I20110922000123 |
| Provider Name | Edward Anderson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366445462 PECOS PAC ID: 9133312861 Enrollment ID: I20111216000330 |
| Provider Name | Kerri L Leffler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063710283 PECOS PAC ID: 3274794292 Enrollment ID: I20120418000198 |
| Provider Name | Tyra C Kluemper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710245410 PECOS PAC ID: 2961664941 Enrollment ID: I20120509000216 |
| Provider Name | Andrew Feltz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225037393 PECOS PAC ID: 4880668235 Enrollment ID: I20120515000433 |
| Provider Name | Scott Jason Giaimo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912967381 PECOS PAC ID: 2163488446 Enrollment ID: I20120621000158 |
| Provider Name | Terry Alicia Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215025481 PECOS PAC ID: 0547418857 Enrollment ID: I20120911000713 |
| Provider Name | Carla S Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063771962 PECOS PAC ID: 8325297146 Enrollment ID: I20121010000471 |
| Provider Name | Kelley O Holloway Marshall |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942593231 PECOS PAC ID: 6608026166 Enrollment ID: I20121112000390 |
| Provider Name | Jennifer Sanders |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003167479 PECOS PAC ID: 0244483063 Enrollment ID: I20130103000342 |
| Provider Name | Della J Busby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215039144 PECOS PAC ID: 0446211726 Enrollment ID: I20130114000416 |
| Provider Name | Mary E Osburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699060913 PECOS PAC ID: 2062651912 Enrollment ID: I20130625000636 |
| Provider Name | Kyle M Hamblen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194064675 PECOS PAC ID: 7214161785 Enrollment ID: I20131016001334 |
| Provider Name | Christine Vaal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558787853 PECOS PAC ID: 9335370584 Enrollment ID: I20140401001201 |
| Provider Name | Sarah B Moreau |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346674603 PECOS PAC ID: 9436381175 Enrollment ID: I20140411001825 |
| Provider Name | Anne Batson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083923866 PECOS PAC ID: 4789857418 Enrollment ID: I20140501001925 |
| Provider Name | Wayne M Mccullough |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033284179 PECOS PAC ID: 0446269278 Enrollment ID: I20140604000676 |
| Provider Name | Susan E E Eakins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073730339 PECOS PAC ID: 9830313030 Enrollment ID: I20140609001865 |
| Provider Name | Kaley Hardesty Chatham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396033346 PECOS PAC ID: 3870762529 Enrollment ID: I20140619000812 |
| Provider Name | Howard D Cameron |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558604249 PECOS PAC ID: 3870718174 Enrollment ID: I20140630000957 |
| Provider Name | James Polly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336459429 PECOS PAC ID: 0143449611 Enrollment ID: I20141120000335 |
| Provider Name | Joyce Ann Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730578436 PECOS PAC ID: 1759608540 Enrollment ID: I20150316000132 |
| Provider Name | Eric J Moreau |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245663632 PECOS PAC ID: 9335457035 Enrollment ID: I20150930000039 |
| Provider Name | Katie Leigh Austin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1750528287 PECOS PAC ID: 5294884490 Enrollment ID: I20160324000285 |
| Provider Name | Lori Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679939987 PECOS PAC ID: 0648579086 Enrollment ID: I20160505002037 |
| Provider Name | Robert Alan Hamilton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669471843 PECOS PAC ID: 1658273594 Enrollment ID: I20160511001423 |
| Provider Name | Erika Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104933688 PECOS PAC ID: 0941590756 Enrollment ID: I20160607002337 |
| Provider Name | Jacqueline Martz |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1407884703 PECOS PAC ID: 9638159189 Enrollment ID: I20160830000431 |
| Provider Name | Ronald G Hageman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245249192 PECOS PAC ID: 2466462221 Enrollment ID: I20161222001274 |
| Provider Name | Andrea Woodgeard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588114599 PECOS PAC ID: 9830475458 Enrollment ID: I20170417000156 |
| Provider Name | Damon Payton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649200502 PECOS PAC ID: 0446286504 Enrollment ID: I20170419002124 |
| Provider Name | Elizabeth L Terlizzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295271658 PECOS PAC ID: 8123305711 Enrollment ID: I20170509001037 |
| Provider Name | Stephanie Dexter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669908109 PECOS PAC ID: 0446537880 Enrollment ID: I20170511002285 |
| Provider Name | Robert T Kocembo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730118878 PECOS PAC ID: 7214024009 Enrollment ID: I20170809001423 |
| Provider Name | Jennifer L Lampert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982137428 PECOS PAC ID: 9931472834 Enrollment ID: I20170828004434 |
| Provider Name | Andrea E Tennancour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356866834 PECOS PAC ID: 9537432968 Enrollment ID: I20170907001350 |
| Provider Name | Dante Brown |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104277516 PECOS PAC ID: 6507130614 Enrollment ID: I20170929001327 |
| Provider Name | Kimberly A Mcgillicuddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255840401 PECOS PAC ID: 1254607336 Enrollment ID: I20171017001726 |
| Provider Name | Donna G Demunbrun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578909024 PECOS PAC ID: 2567738644 Enrollment ID: I20171017001933 |
| Provider Name | Rebecca S Oberle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407368640 PECOS PAC ID: 5991061889 Enrollment ID: I20171109000364 |
| Provider Name | Maria C Ambush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083123103 PECOS PAC ID: 9830455666 Enrollment ID: I20171113000542 |
| Provider Name | Paula J Gring |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023236882 PECOS PAC ID: 7719243336 Enrollment ID: I20171114001725 |
| Provider Name | Tammie R Maiden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265632566 PECOS PAC ID: 4688960339 Enrollment ID: I20171218003208 |
| Provider Name | Stephen D Curtis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265743165 PECOS PAC ID: 9133487267 Enrollment ID: I20171219003038 |
| Provider Name | Susan W Driskill |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245404425 PECOS PAC ID: 8820156185 Enrollment ID: I20171221001420 |
| Provider Name | Stacey Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750883005 PECOS PAC ID: 1254692247 Enrollment ID: I20180308001775 |
| Provider Name | Nicholas A Lalios |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538693536 PECOS PAC ID: 0840569679 Enrollment ID: I20180327000600 |
| Provider Name | Tina L Jagger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437580826 PECOS PAC ID: 5698038172 Enrollment ID: I20180416000984 |
| Provider Name | Betty L D'amico |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285123356 PECOS PAC ID: 8729342050 Enrollment ID: I20180514000567 |
| Provider Name | Lavena M Mccullum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235628645 PECOS PAC ID: 7911253299 Enrollment ID: I20180628001048 |
| Provider Name | Emily Lou Shin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841658689 PECOS PAC ID: 1153629233 Enrollment ID: I20180821002704 |
| Provider Name | William Todd Wagoner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427537588 PECOS PAC ID: 9234488354 Enrollment ID: I20180823001053 |
| Provider Name | Constance R Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104306620 PECOS PAC ID: 6002169679 Enrollment ID: I20181029001300 |
| Provider Name | Sheri Lcsw Bell-o'gara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821064148 PECOS PAC ID: 4789928664 Enrollment ID: I20181204000796 |
| Provider Name | Jennifer Linarello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215066105 PECOS PAC ID: 6800133661 Enrollment ID: I20190201000122 |
| Provider Name | Ellie Malek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699104653 PECOS PAC ID: 5698017325 Enrollment ID: I20190430000937 |
| Provider Name | Yonna Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578026068 PECOS PAC ID: 5597098384 Enrollment ID: I20190611000602 |
| Provider Name | Melissa Crawford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053972265 PECOS PAC ID: 4284969189 Enrollment ID: I20190715003269 |
| Provider Name | Katelyn Holsclaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174176077 PECOS PAC ID: 6608102470 Enrollment ID: I20190731003792 |
| Provider Name | Barbara Lynn Martig |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508419359 PECOS PAC ID: 6507193208 Enrollment ID: I20190802001696 |
| Provider Name | Chelci Gay |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1467938605 PECOS PAC ID: 6709123904 Enrollment ID: I20190824000699 |
| Provider Name | Gayle Iwamasa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861589327 PECOS PAC ID: 3779811849 Enrollment ID: I20190827004122 |
| Provider Name | Jennifer Leigh Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861040693 PECOS PAC ID: 4385975226 Enrollment ID: I20191008002122 |
| Provider Name | Robert B Ramey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912540402 PECOS PAC ID: 7517399413 Enrollment ID: I20191114002047 |
| Provider Name | Amy Huelsenbeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003825563 PECOS PAC ID: 8022014323 Enrollment ID: I20200309002412 |
| Provider Name | Cameron Chappell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316571532 PECOS PAC ID: 0941639322 Enrollment ID: I20200406002690 |
| Provider Name | Tami Marie Weston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245701556 PECOS PAC ID: 4082044177 Enrollment ID: I20200413001562 |
| Provider Name | Rosalynn J Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689188526 PECOS PAC ID: 9638335219 Enrollment ID: I20200417001369 |
| Provider Name | Shantrece N Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760003784 PECOS PAC ID: 5698106797 Enrollment ID: I20200505001354 |
| Provider Name | Lisa Bridwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902427917 PECOS PAC ID: 9830511351 Enrollment ID: I20200714000566 |
| Provider Name | Aaron Starr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154814507 PECOS PAC ID: 1951726769 Enrollment ID: I20200810002761 |
| Provider Name | Cassandra Trapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194181677 PECOS PAC ID: 1355768276 Enrollment ID: I20200824002175 |
| Provider Name | Stacy Elaine Orr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649682188 PECOS PAC ID: 7911324298 Enrollment ID: I20200901002065 |
| Provider Name | Magdalene Oluwamayowa Bambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790394922 PECOS PAC ID: 8921425992 Enrollment ID: I20200908000087 |
| Provider Name | Kathaleen L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821150426 PECOS PAC ID: 0446499222 Enrollment ID: I20201005000957 |
| Provider Name | Emily Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376685388 PECOS PAC ID: 8921384389 Enrollment ID: I20201012001696 |
| Provider Name | Kelsey Traughber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780220251 PECOS PAC ID: 1456785294 Enrollment ID: I20201012001708 |
| Provider Name | Staci Weisman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083217269 PECOS PAC ID: 6608287560 Enrollment ID: I20201124003254 |
| Provider Name | Whitney Eck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386248771 PECOS PAC ID: 6608288006 Enrollment ID: I20201208002956 |
| Provider Name | Lacey Wills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275135212 PECOS PAC ID: 2769895036 Enrollment ID: I20210105001632 |
| Provider Name | Richard Susner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225425960 PECOS PAC ID: 9830407378 Enrollment ID: I20210211002776 |
| Provider Name | Abigail Vincent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003405051 PECOS PAC ID: 4587079850 Enrollment ID: I20210218001687 |
| Provider Name | William Anthony Mathis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639408990 PECOS PAC ID: 9234568023 Enrollment ID: I20210330001915 |
| Provider Name | Michelle M Sutterfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023693983 PECOS PAC ID: 7517374044 Enrollment ID: I20210330002160 |
| Provider Name | Elizabeth Satterlee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750964086 PECOS PAC ID: 1951710540 Enrollment ID: I20210512000241 |
| Provider Name | Nathan Floyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336505668 PECOS PAC ID: 5890196240 Enrollment ID: I20210623002474 |
| Provider Name | Shalynn Grace Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588200604 PECOS PAC ID: 2264833052 Enrollment ID: I20210630003408 |
| Provider Name | Sarah Bent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861061012 PECOS PAC ID: 2466856364 Enrollment ID: I20210813000678 |
| Provider Name | Taylor G Brewer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043837610 PECOS PAC ID: 5294159703 Enrollment ID: I20210908001165 |
| Provider Name | Teri Cardwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992789887 PECOS PAC ID: 6901203850 Enrollment ID: I20210921000855 |
| Provider Name | Pamela Sparkling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477224590 PECOS PAC ID: 5395133243 Enrollment ID: I20211026000456 |
| Provider Name | Chelsea Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093216368 PECOS PAC ID: 2365832391 Enrollment ID: I20211207001735 |
| Provider Name | Trey Biggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538827696 PECOS PAC ID: 4981095205 Enrollment ID: I20211221002641 |
| Provider Name | Sandra Whiteley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982098141 PECOS PAC ID: 7719379023 Enrollment ID: I20220119000572 |
| Provider Name | Melissa Babbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982363982 PECOS PAC ID: 4486045366 Enrollment ID: I20220119000591 |
| Provider Name | Valerie Panning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598418188 PECOS PAC ID: 9133512379 Enrollment ID: I20220210000650 |
| Provider Name | Erin Colleen Clarey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467788984 PECOS PAC ID: 6608263769 Enrollment ID: I20220420001977 |
| Provider Name | Dorothy M Stein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710631429 PECOS PAC ID: 5799162970 Enrollment ID: I20220509000928 |
| Provider Name | Victoria Ann Buchheit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669996948 PECOS PAC ID: 6800278458 Enrollment ID: I20220729001381 |
| Provider Name | Carrie Elizabeth Ranard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114696853 PECOS PAC ID: 9638551906 Enrollment ID: I20220803000402 |
| Provider Name | Julie Ann Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548997265 PECOS PAC ID: 3274916952 Enrollment ID: I20220812000575 |
| Provider Name | Nicole Lynn Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700519584 PECOS PAC ID: 5294118675 Enrollment ID: I20220817002818 |
| Provider Name | Kevin Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104405794 PECOS PAC ID: 7517341464 Enrollment ID: I20220826001930 |
| Provider Name | Susan Glassburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003161027 PECOS PAC ID: 7315175346 Enrollment ID: I20220906002263 |
| Provider Name | Kimbra Lee Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992212211 PECOS PAC ID: 5294072005 Enrollment ID: I20221021000478 |
| Provider Name | Heather Depaul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154032043 PECOS PAC ID: 6800266529 Enrollment ID: I20221221001064 |
| Provider Name | Lynn Dippel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003528274 PECOS PAC ID: 0244600856 Enrollment ID: I20221222002026 |
| Provider Name | Brian Michael Mckibben |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053826982 PECOS PAC ID: 6709139041 Enrollment ID: I20230106001324 |
| Provider Name | Megan Renee Sandy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376257592 PECOS PAC ID: 2163893116 Enrollment ID: I20230130001914 |
| Provider Name | Brian Russell Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326752221 PECOS PAC ID: 3173997608 Enrollment ID: I20230323000198 |
| Provider Name | Melissa Konijeti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235747965 PECOS PAC ID: 1355716531 Enrollment ID: I20230403000421 |
| Provider Name | Scott Michael Hargan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548753155 PECOS PAC ID: 8022483627 Enrollment ID: I20230413000823 |
| Provider Name | Nicole Renea Nethery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063166684 PECOS PAC ID: 9234594367 Enrollment ID: I20230425002015 |
| Provider Name | Dana C Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043974140 PECOS PAC ID: 5092171033 Enrollment ID: I20230518000345 |
| Provider Name | Stacey L Matelic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881854065 PECOS PAC ID: 8123481223 Enrollment ID: I20230822003262 |
| Provider Name | Lakeshia K Blanton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154000230 PECOS PAC ID: 2961865282 Enrollment ID: I20230901002737 |
| Provider Name | Jonathan Thomas Laucella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821646076 PECOS PAC ID: 4082060199 Enrollment ID: I20231026000349 |
| Provider Name | Tamara Ndenguma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891567905 PECOS PAC ID: 1557707007 Enrollment ID: I20240307000741 |
| Mailing Address | Practice Location Address |
|---|---|
| Onhealthcare Optometry 100 W Big Beaver Rd, Suite 655, Troy, MI 48084-5206 Ph: (248) 528-1981 | Onhealthcare Optometry 8425 Woodfield Crossing Blvd, Suite 136, Indianapolis, IN 46240-7315 Ph: (317) 554-0555 |
Eskenazi Health, Optical Shop Optometrist Medicare: Medicare Enrolled Practice Location: 720 Eskenazi Ave., C6-104, Indianapolis, IN 46202 Phone: 317-880-8552 | |
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 | |
Eskenazi Health Forest Manor Optometry & Optical Optometrist Medicare: Medicare Enrolled Practice Location: 3840 N Sherman Dr Ste 150, Indianapolis, IN 46226 Phone: 317-880-8800 |