OrganizationActive
Revolutioneyes 2 LLC
NPI 1104608348 · Optometrist · Fishers, IN
Provider details
- NPI number
- 1104608348
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Ashley Draheim, Practice Manager(317) 790-2015
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11464 Lakeridge Dr
Fishers, IN 46037-7607
Phone: (317) 790-2015
Fax: (317) 708-7324
Street-level locationGet directions
Mailing address
11464 Lakeridge Dr
Fishers, IN 46037-7607
Registry dates
- Enumerated
- 2023-10-20
- Last updated
- 2023-10-20
- Certified
- 2023-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.