| City Optical Co., Inc. | |
| 2552 E 3rd St, Bloomington, IN 47401-5338 | |
| (812) 332-3432 | |
| (317) 924-3741 | 
| Full Name | City Optical Co., Inc. | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 2552 E 3rd St, Bloomington, Indiana | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003805185 | NPI | - | NPPES | 
| 100183540A | Medicaid | IN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 18001836 (Indiana) | Secondary | 
| 152W00000X | Optometrist | (* (Not Available)) | Primary | 
| Provider Name | Dawn R Cassidy | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1659309177 PECOS PAC ID: 6608789698 Enrollment ID: I20031106000368 | 
| Provider Name | Jackie Michael Jones | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1477540136 PECOS PAC ID: 0345255725 Enrollment ID: I20060207000738 | 
| Provider Name | Alan G Tavel | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1154310464 PECOS PAC ID: 3577466556 Enrollment ID: I20060221000497 | 
| Provider Name | David J Seay | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1457303661 PECOS PAC ID: 1153379441 Enrollment ID: I20060925000465 | 
| Provider Name | Michael Shawn Mccoy | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1841273075 PECOS PAC ID: 3779588710 Enrollment ID: I20060925000478 | 
| Provider Name | Irving J Regenstreif | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1639168305 PECOS PAC ID: 1850396896 Enrollment ID: I20060925000493 | 
| Provider Name | Jennifer Lynne Houseknecht | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1164472734 PECOS PAC ID: 8325043391 Enrollment ID: I20060926000107 | 
| Provider Name | James Richard Hartill | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1902858509 PECOS PAC ID: 6800891888 Enrollment ID: I20060926000177 | 
| Provider Name | Marilyn Suzanne Burich | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1679562359 PECOS PAC ID: 7113922113 Enrollment ID: I20060926000318 | 
| Provider Name | Andrew W Jones | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1972553923 PECOS PAC ID: 3577561877 Enrollment ID: I20061121000333 | 
| Provider Name | Mark A Houser | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1740472216 PECOS PAC ID: 1850488305 Enrollment ID: I20071030000510 | 
| Provider Name | Austin David Potter | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1508870742 PECOS PAC ID: 2062597941 Enrollment ID: I20080318000045 | 
| Provider Name | Aaron K Cooke | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1992086516 PECOS PAC ID: 7810161734 Enrollment ID: I20111110000543 | 
| Provider Name | Judy A Walrath | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1780022152 PECOS PAC ID: 5698919884 Enrollment ID: I20130909000596 | 
| Provider Name | Amy C Cardis | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1659718476 PECOS PAC ID: 6709011760 Enrollment ID: I20131028001777 | 
| Provider Name | Jamz M Porzio | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1366855835 PECOS PAC ID: 9335365741 Enrollment ID: I20140721001615 | 
| Provider Name | Caitlyn P Conoley | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1770997561 PECOS PAC ID: 9739306895 Enrollment ID: I20140813001339 | 
| Provider Name | Courtney Nicole Kassenbrock | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1093121303 PECOS PAC ID: 2769603851 Enrollment ID: I20141014000941 | 
| Provider Name | Nicholas Aumage | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1568862456 PECOS PAC ID: 5890019350 Enrollment ID: I20150112000940 | 
| Provider Name | Karen J Norrick | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1770518102 PECOS PAC ID: 1254312390 Enrollment ID: I20150514000335 | 
| Provider Name | Jacqueline B Garrison | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1578943445 PECOS PAC ID: 0941513410 Enrollment ID: I20150714000429 | 
| Provider Name | Jessica Lee Lambert Moore | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1588004550 PECOS PAC ID: 9931320405 Enrollment ID: I20151222001781 | 
| Provider Name | Stacey Ramiro | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1528129863 PECOS PAC ID: 1557358231 Enrollment ID: I20160822001073 | 
| Provider Name | Steven Ison | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1083136030 PECOS PAC ID: 7416228226 Enrollment ID: I20170811001354 | 
| Provider Name | David L Rich | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1386697746 PECOS PAC ID: 1759393820 Enrollment ID: I20170928002364 | 
| Provider Name | Melissa Alane Lewis | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1700308988 PECOS PAC ID: 4688931652 Enrollment ID: I20171129001431 | 
| Provider Name | Dlisa Y Patterson | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1689784415 PECOS PAC ID: 2860497146 Enrollment ID: I20180111002017 | 
| Provider Name | Sara R Gibson | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1528600970 PECOS PAC ID: 4284068040 Enrollment ID: I20200102002211 | 
| Provider Name | Anna Slemp | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1699205898 PECOS PAC ID: 3678903218 Enrollment ID: I20200422000209 | 
| Provider Name | Nicholas A Earls | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1598136251 PECOS PAC ID: 3779893193 Enrollment ID: I20200729000829 | 
| Provider Name | Hannah Barker | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1508447970 PECOS PAC ID: 7517375801 Enrollment ID: I20210427000873 | 
| Provider Name | Kailey Soileau Daniel | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1063082881 PECOS PAC ID: 9739586124 Enrollment ID: I20210928002039 | 
| Provider Name | Razanne Hazem Taher | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1962980607 PECOS PAC ID: 8325378789 Enrollment ID: I20220207001522 | 
| Provider Name | Fareesa Siddiqui | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1780268292 PECOS PAC ID: 6901209030 Enrollment ID: I20220706000986 | 
| Provider Name | Syeda Nisma Ahmed | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1710614144 PECOS PAC ID: 1052793973 Enrollment ID: I20220809000787 | 
| Provider Name | Abigail S David | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1659424497 PECOS PAC ID: 7618353632 Enrollment ID: I20220928003173 | 
| Provider Name | Danielle Eslick | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1841915584 PECOS PAC ID: 9234505199 Enrollment ID: I20221018000399 | 
| Provider Name | Marian L Longo | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1801183751 PECOS PAC ID: 8123296910 Enrollment ID: I20221027000602 | 
| Provider Name | Marzia Zamani | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1386393429 PECOS PAC ID: 5890164487 Enrollment ID: I20221202000880 | 
| Provider Name | Hillary Morrow | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1053576348 PECOS PAC ID: 6507920428 Enrollment ID: I20230414000589 | 
| Provider Name | Katherine Rosenberger | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1902580376 PECOS PAC ID: 5799916128 Enrollment ID: I20230623001874 | 
| Provider Name | Devyn Larue Hayes | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1578241998 PECOS PAC ID: 7416317805 Enrollment ID: I20230717003124 | 
| Provider Name | Corrin Krieg | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1740859206 PECOS PAC ID: 4880071075 Enrollment ID: I20231019002057 | 
| Provider Name | Ravisa Patel | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1750774519 PECOS PAC ID: 0446603922 Enrollment ID: I20240131003968 | 
| Provider Name | Andrea Dobbins | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1578303681 PECOS PAC ID: 8628512076 Enrollment ID: I20240627000221 | 
| Provider Name | Hannah Honaker | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1518701317 PECOS PAC ID: 0042755472 Enrollment ID: I20240710002298 | 
| Provider Name | Courtney Langley | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1265277362 PECOS PAC ID: 6406391739 Enrollment ID: I20240711001004 | 
| Provider Name | Gobinda Pangeni | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1023708054 PECOS PAC ID: 8527507383 Enrollment ID: I20240826001523 | 
| Provider Name | Erin Nicole Berube | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1982389326 PECOS PAC ID: 1658811773 Enrollment ID: I20240904001631 | 
| Provider Name | Caitlin Haas | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1023837994 PECOS PAC ID: 6406388206 Enrollment ID: I20241017003573 | 
| Provider Name | Hannah Degroot Koch | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1073318424 PECOS PAC ID: 9537689062 Enrollment ID: I20250226003792 | 
| Provider Name | Madeline Curtis | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1730828138 PECOS PAC ID: 1951782853 Enrollment ID: I20250423003112 | 
| Mailing Address | Practice Location Address | 
|---|---|
| City Optical Co., Inc. 2839 Lafayette Rd, Indianapolis, IN 46222-2147 Ph: (317) 924-1300 | City Optical Co., Inc. 2552 E 3rd St, Bloomington, IN 47401-5338 Ph: (812) 332-3432 | 
| Bayley Marie Brunck, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1105 S College Mall Rd, Bloomington, IN 47401 Phone: 812-333-2020 Fax: 812-334-2020 | |
| Christensen Eye Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3205 W State Road 45, Bloomington, IN 47403 Phone: 812-333-8912 Fax: 812-333-8918 | |
| Ossip Optometry, P.c Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 W Kirkwood Ave, Ste 120, Bloomington, IN 47404 Phone: 812-331-9082 Fax: 812-331-1301 | |
| Dr. Alyssa Vanwerden, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1105 S College Mall Rd, Bloomington, IN 47401 Phone: 812-333-2020 Fax: 812-334-2020 | |
| First Impressions Optometric Associates, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2894 E 3rd St Ste 155, Bloomington, IN 47401 Phone: 812-336-2702 Fax: 812-336-2705 | |
| Brett Joseph King, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 744 E 3rd St, Bloomington, IN 47405 Phone: 812-855-1344 Fax: 812-855-1683 |