OrganizationActive
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NPI 1841607009 · Optometrist · Indianapolis, IN
Provider details
- NPI number
- 1841607009
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Mary Walker, Group Billing Manager(248) 354-7100
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
8702 Keystone Xing Ste 101b
Indianapolis, IN 46240-7811
Phone: (317) 975-6900
Fax: (317) 814-2233
Street-level locationGet directions
Mailing address
19800 W 8 Mile Rd
Southfield, MI 48075-5730
Registry dates
- Enumerated
- 2014-07-18
- Last updated
- 2014-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.