MEDICARE: NORA EYE CARE, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	18001665B	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	410017624	OTHER	GA	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1518142637
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORA EYE CARE, P.C.

Provider Business Mailing Address
First Line	:	860 E 86TH ST
Second Line	:	SUITE 2
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-6859
Country	:	US
Telephone Number	:	317-848-7755
Fax Number	:	317-848-7766

Provider Business Practice Location Address
First Line	:	860 E 86TH ST
Second Line	:	SUITE 2
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-6859
Country	:	US
Telephone Number	:	317-848-7755
Fax Number	:	317-848-7766

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GAIL Z. RHOADES
Credential	:	O.D.
Telephone Number	:	317-848-7755

Provider Enumeration Date	:	01/08/2008
Last Update Date	:	11/13/2009

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