DR. ELLEN NICOLE GEISEN (OD) – Optometrist, NPI 1760042410

Optometrist

DR. ELLEN NICOLE GEISEN (OD) is a healthcare provider. based in Dyer, Indiana. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 18004165A (IN). The NPI Number for DR. ELLEN NICOLE GEISEN (OD) is 1760042410

Main info

Female

7 Years Of Experience

Accepts Medicare Assignment

Name

DR. ELLEN NICOLE GEISEN (OD)

NPI

1760042410

Phone

(219) 306-5602

Address

2730 FOREST PARK DR

Enumeration Date

15 June 2019

Last Update Date

28 September 2021

Doctor Profile

Medical School Name

ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO

Secondary Phone

2609253116

Graduation Year

2019 (7 years ago)

PAC ID

0648505578

Group Practice PAC ID

2961399217

Professional Enrollment ID

I20190715000810

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience36

Completeness75

Years active:6State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ELLEN NICOLE GEISEN (OD)

2730, Forest Park Drive, Dyer, Lake County, Indiana, 46311, United States
DYER, IN 463112100
Phone: (219) 306-5602
Type: Mailing
2001, Reed Road, Fort Wayne, Allen County, Indiana, 46815, United States
FORT WAYNE, IN 468157311
Phone: (260) 426-5663
Type: Location
6111 N MERIDIAN ST
INDIANAPOLIS, IN 462081535
Phone: (219) 306-5602
Type: Mailing
11595 N MERIDIAN ST STE 175
CARMEL, IN 460324408
Phone: (317) 942-7255
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46311)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 2961399217View full group profile

Name	Specialty	State
ERIC SKORUPA (OD)	O P T O M E T R Y	IN
KORA L SMITH (OD)	O P T O M E T R Y	IN
DR. GREY PRESTON BAALS (O.D.)	-	IN
DR. BRANDON NICHOLAS TERRY (O.D.)	O P T O M E T R Y	IN
KYLIE SEBASTIAN (OD)	O P T O M E T R Y	IN
DR. BRIAN ANDREW FAUST (O.D.)	O P T O M E T R Y	IN
DR. DANIEL D DIEDRICH (O.D.)	-	IN
DR. DANIEL ROBERT WHIPPLE (M.D.)	O P H T H A L M O L O G Y	IN
CHRISTOPHER SCOTT CONNELL (O.D.)	O P T O M E T R Y	IN
DR. EMILY BROOKE BRANDSTATTER (O.D.)	-	IN