MEDICARE: NICHOLAS F HRISOMALOS MD PC

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	207WX0107X	Retina Specialist (Ophthalmology) Physician
2	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1508277542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NICHOLAS F HRISOMALOS MD PC

Provider Business Mailing Address
First Line	:	10300 N ILLINOIS ST
Second Line	:	SUITE 1070
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46290-1167
Country	:	US
Telephone Number	:	317-817-1500
Fax Number	:	317-817-1511

Provider Business Practice Location Address
First Line	:	10300 N ILLINOIS ST
Second Line	:	SUITE 1070
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46290-1167
Country	:	US
Telephone Number	:	317-817-1500
Fax Number	:	317-817-1511

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	STEFNIE JONES
Credential	:
Telephone Number	:	317-805-4595

Provider Enumeration Date	:	05/13/2014
Last Update Date	:	03/31/2017

Similar Medicare Providers

1568452340 — DR. NICHOLAS FRANK HRISOMALOS M.D.
Practice Location Address:

10300 N ILLINOIS ST , SUITE1070
INDIANAPOLIS, IN
46290-1167

Practice Phone: 317-817-1500
Practice Fax: 317-817-1511

1770551095 — STEPHEN M JOHNSON MD
Practice Location Address:

10300 N ILLINOIS ST STE 1040
INDIANAPOLIS, IN
46290-1167

Practice Phone: 317-817-1765
Practice Fax: 317-817-1767

1831129790 — OPHTHALMIC PLASTIC SURGERY INC
Practice Location Address:

10300 N ILLINOIS ST STE 2020
INDIANAPOLIS, IN
46290-1167

Practice Phone: 317-817-1976
Practice Fax: 317-817-1737

1003106824 — DR. FRANK N. HRISOMALOS MD
Practice Location Address:

10300 N ILLINOIS ST STE 1070
INDIANAPOLIS, IN
46290-1167

Practice Phone: 317-817-1500
Practice Fax: 317-817-1511

1164659751 — DR. KEVIN ENPEI LAI M.D.
Practice Location Address:

10300 N ILLINOIS ST STE 1000
CARMEL, IN
46290-1167

Practice Phone: 317-805-2240
Practice Fax:

1639455066 — MIDWEST CORNEA ASSOCIATES, LLC
Practice Location Address:

10300 N ILLINOIS ST STE 1040
CARMEL, IN
46290-1167

Practice Phone: 317-817-1765
Practice Fax: 317-817-1767

Directions to “NICHOLAS F HRISOMALOS MD PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.