DR. SHELLEY KALUF DIEUDONNE O.D.
NPI 1699960104
Optometrist in Greenwood, IN
About Dr. Shelley Kaluf Dieudonne O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHELLEY KALUF DIEUDONNE O.D. (NPI 1699960104) is an individual optometrist in Greenwood, Indiana, licensed in Indiana (18003192A) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Shelley Kaluf Dieudonne O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shelley Dieudonne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Indianapolis, IN 46204
- Reassigned Medicare billing, Indiana enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46143 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shelley Dieudonne's NPI number?
The NPI number for Shelley Dieudonne is 1699960104. It was assigned to this individual provider in the NPPES registry on September 7, 2007.
Where is Shelley Dieudonne located?
Shelley Dieudonne practices at 980 Averitt Rd, Greenwood, IN 46143. The listed phone number is (317) 254-6480.
What is Shelley Dieudonne's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Shelley Dieudonne enrolled in Medicare?
Yes. Shelley Dieudonne is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shelley Dieudonne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelley Dieudonne reassigns Medicare benefits to Ovitsky Vision Care Of Indiana PC (Indianapolis, IN). The 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 Shelley Dieudonne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shelley Dieudonne accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 5 other insurers list Shelley Dieudonne 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 Shelley Dieudonne was last updated on March 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Shelley Kaluf Dieudonne, O.D. · NPI 1699960104
Optometrist provider in Greenwood, Indiana. Individual provider, active in the CMS NPPES registry since September 7, 2007.
## Identity
- **NPI:** 1699960104 (Entity type: Individual)
- **Enumerated:** September 7, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 18003192A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 980 AVERITT RD, Greenwood, IN 46143-9540
- **Phone:** (317) 254-6480 · **Fax:** (317) 259-8609
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Ovitsky Vision Care Of Indiana PC (NPI 1831694330, Indianapolis, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 27, 2014
- **Other identifiers:** Medicare PIN 894060CC (IN); Medicare NSC 0873400007 (IN); Other 000000617702 (IN); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1699960104) · Data from the CMS NPPES public registry.