Jeffrey D. Irvin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003164 Issued in IN

Practice address

634 Cross Valley Cir
Evansville, IN 47710-5238

Phone

(812) 401-7777

Fax

(812) 429-0392

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Oakland City Eyecare, LLCGroup PAC ID 1850301383, 5 clinicians

Northside Eyecare Associates, LLCGroup PAC ID 3678615259, 5 clinicians

South Gibson Eyecare Associates, LLCGroup PAC ID 2769657063, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• KY PPO
• KY PPO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northside Eyecare Associates, LLC

  • Optometrist
  • Evansville, IN
  • NPI 1306077839
  Medicare reassignment Care Compare group NPD Authorized official
• South Gibson Eyecare Associates, LLC

  • Optometrist
  • Haubstadt, IN
  • NPI 1407123128
  Medicare reassignment Care Compare group NPD Authorized official
• Oakland City Eyecare, LLC

  • Optometrist
  • Oakland City, IN
  • NPI 1871645689
  Medicare reassignment Care Compare group Authorized official
• Midwest Eye Consultants, P.C.

  • Optometrist
  • Greensburg, IN
  • NPI 1013480482
  NPD (past)
• Midwest Eye Consultants, P.C.

  • Optometrist
  • Warren, IN
  • NPI 1124155452
  NPD (past)
• Midwest Eye Consultants, P.C.

  • Optometrist
  • Wabash, IN
  • NPI 1689637043
  NPD (past)
• Midwest Eye Consultants, PC

  • Optometrist
  • Fort Wayne, IN
  • NPI 1548132715
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1013025683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 566",
            "city": "HAUBSTADT",
            "state": "IN",
            "postal_code": "476399501",
            "telephone_number": "812-768-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 CROSS VALLEY CIR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477105238",
            "telephone_number": "812-401-7777",
            "fax_number": "812-429-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVIN",
        "first_name": "JEFFREY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00928487",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS",
            "identifier": "4484690001",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200394550",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Intrepid of the Crescent Valley, Inc.
• Anthony Thomas Inzerello III, M.D.
• Kashif Z Iqbal, MD
• Ireland & Luzio Behavioral Services
• John F Ireland, PHD
• Sarah Elizabeth Irvin, SLP-CCC
• Lisa Michelle Isaacs, FNP
• Shawn David Isaacs, D.C.
• Muhammad Ishaq, MD
• Nigel Islam, MD

• Optometrist in Evansville, IN
• Providers in Evansville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.