AUDREY SIMONE DAWSON OD
NPI 1053889915
Optometrist in Portage, IN
About Audrey Simone Dawson Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUDREY SIMONE DAWSON OD (NPI 1053889915) is an individual optometrist in Portage, Indiana, licensed in Indiana (18004139A) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Audrey Simone Dawson Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46368 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTAGE, IN 46368
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 Audrey Dawson's NPI number?
The NPI number for Audrey Dawson is 1053889915. It was assigned to this individual provider in the NPPES registry on November 8, 2018.
Where is Audrey Dawson located?
Audrey Dawson practices at 6050 Sterling Creek Rd, Portage, IN 46368. The listed phone number is (219) 763-8112.
What is Audrey Dawson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Audrey Dawson enrolled in Medicare?
Yes. Audrey Dawson is registered in the Medicare PECOS enrollment system.
What insurance does Audrey Dawson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 4 other insurers list Audrey Dawson 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 Audrey Dawson was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Audrey Simone Dawson, OD · NPI 1053889915
Optometrist provider in Portage, Indiana. Individual provider, active in the CMS NPPES registry since November 8, 2018.
## Identity
- **NPI:** 1053889915 (Entity type: Individual)
- **Enumerated:** November 8, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 18004139A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 6050 STERLING CREEK RD, Portage, IN 46368-7752
- **Phone:** (219) 763-8112 · **Fax:** (219) 764-5380
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** August 17, 2020
- **Other identifiers:** Medicaid 300021049 (IN); Other 191360037 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1053889915) · Data from the CMS NPPES public registry.