Provider Demographics
NPI:1205957990
Name:VANGETS, MICHELLE ELIZABETH (OD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ELIZABETH
Last Name:VANGETS
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2666 LAKE CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-9340
Mailing Address - Country:US
Mailing Address - Phone:317-519-8445
Mailing Address - Fax:317-975-3993
Practice Address - Street 1:8500 KEYSTONE XING STE 150
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-4370
Practice Address - Country:US
Practice Address - Phone:317-624-2020
Practice Address - Fax:317-975-3993
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2309152W00000X
IN18003191A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201078320Medicaid
INP01382762OtherRAILROAD MEDICARE
IN160450036Medicare PIN
INP01382762OtherRAILROAD MEDICARE