JERRY D WARTHMAN, O.D., LLC
NPI 1053577510
Optometrist in Anderson, IN

Q: What is Jerry D Warthman, O.D., LLC's NPI number?

The NPI number for Jerry D Warthman, O.D., LLC is 1053577510. It was assigned to this organization in the NPPES registry on August 4, 2008.

Q: What is Jerry D Warthman, O.D., LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since August 04, 2008

1923 W 53RD ST, ANDERSON, IN 46013(765) 644-0060(765) 644-0076 Get Directions Write a Review

NPPES record last updated: April 28, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Jerry D Warthman, O.d., Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY D WARTHMAN, O.D., LLC (NPI 1053577510) is a healthcare organization registered as an optometrist in Anderson, Indiana and active in the NPI registry since August 2008. The organization lists Jerry Dale Warthman, Owner, as its authorized official.

NPPES Registry Identity

NPI1053577510

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameJERRY D WARTHMAN, O.D., LLC

Location Address1923 W 53RD STAnderson, IN 46013-1109

Mailing Address1923 W 53rd StAnderson, IN 46013-1109 · (765) 644-0060 · Fax (765) 644-0076

Phone(765) 644-0060

Fax(765) 644-0076

Organization SubpartNo

Authorized OfficialJerry Dale WarthmanOwner · (765) 644-0060

Enumeration DateAugust 4, 2008

Last NPPES UpdateApril 28, 2010

✔ NPI 1053577510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in IN · 18002286A

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1923 W 53RD ST, Anderson, IN 46013

Open in Google Maps ↗

Other Identifiers 5

Medicare UPINU02651

Medicare NSC1246320001

Medicaid200953040IN

Medicaid100331000BIN

Medicare PIN306120

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry D Warthman, O.d., Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jerry D Warthman, O.D., LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jerry Warthman, O.D.

Optometry

NPI 1063493906

1923 W 53RD ST
Anderson, IN 46013

(765) 644-0060

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Jerry D Warthman Od LLC carries, from the Medicare DMEPOS supplier directory.

Jerry D Warthman Od LLC

DMEPOS supplier · Anderson, IN

✔

Accepts Medicare assignment

Jerry D Warthman Od LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20554391

Medicare Participant SinceJanuary 1, 2009

Supplier Location1923 W 53rd StAnderson, IN 46013

Phone(765) 644-0060

Supplier Specialties

Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses

Conventional Eyeglasses

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry D Warthman, O.D., LLC's NPI number?

The NPI number for Jerry D Warthman, O.D., LLC is 1053577510. It was assigned to this organization in the NPPES registry on August 4, 2008.

Where is Jerry D Warthman, O.D., LLC located?

Jerry D Warthman, O.D., LLC is located at 1923 W 53rd St, Anderson, IN 46013. The listed phone number is (765) 644-0060.

What is Jerry D Warthman, O.D., LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jerry D Warthman, O.D., LLC enrolled in Medicare?

Yes. Jerry D Warthman, O.D., LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jerry D Warthman, O.D., LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Jerry D Warthman, O.D., LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jerry D Warthman, O.D., LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Jerry D Warthman Od LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Jerry D Warthman, O.D., LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jerry D Warthman, O.D., LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry D Warthman, O.D., LLC was last updated on April 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.