Dr. John C Venezia, O.D.
Optometrist in Indianapolis, IN. Individual provider (NPI-1).
NPI number1720366248
StatusActive
Last updated in NPPESJul 8, 2015
Details
- NPI
- 1720366248
- Entity type
- Individual (NPI-1)
- Name
- Dr. John C Venezia
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2011
- Last updated
- Jul 8, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 18003710A | IN | Yes |
Practice location
10777 E Washington St Ste AIndianapolis, IN 46229-2642
Phone 317-897-0480 · Fax 317-897-0779
Mailing address
10777 E Washington St Ste AIndianapolis, IN 46229-2642
Phone 317-897-0480 · Fax 317-897-0779
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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