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Indiana University

NPI 1174566921ActiveOrganization· Optometrist· Bloomington, IN

Optometrist in Bloomington, Indiana, registered in NPPES in June 2006. The authorized official on file is Jennifer S. Fisher, Business Mgr. Enrolled in Medicare as dme supplier - physician - optometrist.

Overview

NPI1174566921
StatusActive
Entity typeOrganization
NPI issuedJun 13, 2006
Last updated in NPPESJan 12, 2026
Certified by providerJan 12, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Physician - Optometrist (IN)

Medicare sources and data years

Other Optometrist providers in Bloomington

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