Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053889915 Individual Practitioner Female Practitioner

Dr. Audrey Simone Dawson , OD

Optometrist • Portage, IN

Professional Overview & Biography Verified Profile Summary

Dr. Audrey Dawson, OD is a registered healthcare professional specializing in Optometrist in Portage, IN. Practice services are available at 6050 STERLING CREEK RD under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6050 Sterling Creek Rd

Portage, IN 463687752

Telephone 2197638112
Fax 2197645380
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Portage, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.6 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
14 Specialists

Practicing in Portage, IN (1644 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
15 15 $143.33 $141.53

Medical Specialties & State Licenses

CMS Verified: 2020-08-17
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IN 18004139A

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
300021049 (IN)
Commercial Insurance / Payer ID Medicare Ptan
191360037 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lauren Ostrowski-Winkler , NP

Nurse Practitioner - Family

NPI 1003224395

Nurse Practitioner

Dr. Dana Jones , MD

Obstetrics & Gynecology

NPI 1013447853

Doctor of Medicine (M.D.)

Ashley Arredondo

Nurse Practitioner - Family

NPI 1013552041
NPI 1023844347

Master of Social Work, Licensed Social Worker

Dr. Vanessa Foster , MD

Obstetrics & Gynecology

NPI 1033101753

Doctor of Medicine (M.D.)

Beth Noel , LMHC, LCAC

Counselor - Mental Health

NPI 1033742416

Licensed Mental Health Counselor, LCAC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 17, 2020

Registered at 6050 STERLING CREEK RD, PORTAGE, IN 463687752 (Tel: 2197638112)

📍
Updated Practice Location January 21, 2019

Registered at 2490 CENTRAL AVE, LAKE STATION, IN 464052122 (Tel: 2197638112)

📍
Updated Business Mailing Address January 21, 2019

Registered at PO BOX 1430, PORTAGE, IN 463689230 (Tel: 2197638112)

NPI Profile Active November 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2018

Registered at 604 I ST, LA PORTE, IN 463505530 (Tel: 2193268855)

📍
Updated Business Mailing Address November 08, 2018

Registered at 604 I ST, LA PORTE, IN 463505530 (Tel: 2193268855)

👤
Provider Name / Credentials Updated November 08, 2018

Recorded as AUDREY DAWSON, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2018

Optometrist (License #18004139A in IN)

🟢
Initial NPI Registration & Enumeration November 08, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053889915
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2018
Last Update: August 17, 2020
Sole Proprietor: No

Mailing Address

Po Box 1430

Portage, IN 463689230

Phone: 2197638112

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.