DR. JERRY DALE WARTHMAN (NPI# 1063493906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063493906 |
| Entity Type | Individual |
| Full Name | DR. JERRY DALE WARTHMAN |
| Credential | O.D. |
| Practice Address |
1923 W 53rd St Anderson IN 46013-1109 |
| Practice Telephone | 7656440060 |
| Practice Fax Number | 7656440076 |
| Mailing Telephone | 7656440060 |
| Mailing Fax Number | 7656440076 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2010-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18002286 A | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100331000B | 05 | |
| IN | 200953040 | 05 |
| Street Address |
1923 W 53RD ST |
| City | ANDERSON |
| State | IN |
| Zip Code | 46013-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053577510 | Jerry D Warthman, O.d., LLC | Optometrist | 1923 W 53rd St, Anderson, IN 46013-1109 | 2008-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932639929 | John Till | Optometrist | 5535 South Scatterfield Road, Anderson, IN 46013 | 2017-06-13 |
| 1053595843 | Vidya Ramesh Bettagere | Dentist | 3819 Fairview Drive, Anderson, IN 46013 | 2007-12-28 |
| 1003978586 | Chris D Kinney | Dentist | 3825 Fairview Dr, Anderson, IN 46013 | 2006-12-14 |
| 1841350550 | Deena M Heller | Social Worker | 3125 S Scatterfield Rd Ste 200, Anderson, IN 46013 | 2006-12-11 |
| 1447320668 | Kregg Koons O.d., Inc. | Optometrist | 5535 Scatterfield Rd., Anderson, IN 46013 | 2006-11-08 |
| 1982261269 | Eloquence Therapy Services, P.C. | Speech-Language Pathologist | 3320 Main St, Suite J, Anderson, IN 46013 | 2019-05-22 |
| 1063977825 | Rachael Lauren Hartley | Nurse Practitioner | 3125 S Scatterfield Rd Ste 100, Anderson, IN 46013 | 2019-02-06 |
| 1710473194 | Myeyedr Optometry of Indiana, LLC | Optometrist | 1921 E 53rd St, Anderson, IN 46013 | 2018-07-09 |
| 1508356643 | Matthew M Miller | Physical Therapist | 4227 S Scatterfield Rd, Anderson, IN 46013 | 2018-05-15 |
| 1073040655 | Ashley Smith | Nurse Practitioner | 3125 S Scatterfield Rd Ste 300, Anderson, IN 46013 | 2017-05-15 |
| Find all providers in zip 46013 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639737356 | Alicia Borer | Optometrist | Macha Family Eye Care, 1537 S. Scatterfield Rd. Suite B, Anderson, IN 46016 | 2019-05-29 |
| 1801380753 | Corrie Anderson | Optometrist | 1537 S Scatterfield Rd Ste B, Anderson, IN 46016-5783 | 2018-06-14 |
| 1265943450 | Innovative Vision Therapy Center | Optometrist | 3215 Martin Luther King Jr Blvd Ste O, Anderson, SC 29625-1715 | 2017-10-16 |
| 1275051385 | Daniel & Max, LLC | Optometrist | 3302 N Main St, Anderson, SC 29621-4108 | 2017-09-08 |
| 1932639929 | John Till | Optometrist | 5535 South Scatterfield Road, Anderson, IN 46013 | 2017-06-13 |
| 1346664489 | Eddie Carroll Holcombe | Optometrist | 3319 North Main Street, Anderson, SC 29621 | 2014-02-10 |
| 1922327543 | Electric City Eye Care | Optometrist | 1807b E Greenville St, Anderson, SC 29621-2034 | 2010-05-21 |
| 1477758134 | Van Forrester | Optometrist | 3320 N Main St, Anderson, SC 29621-4108 | 2007-06-20 |
| 1306059704 | Diana C. James | Optometrist | 3319 N. Main St., Anderson, SC 29621 | 2007-05-08 |
| 1720203938 | Omni Eye Associates, Pa | Optometrist | 3131 N. Main Street, Anderson, SC 29621-2764 | 2007-04-13 |
| Find all providers in ANDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.