Active NPI
Jeffrey Edmund Kirchner, O.D.
- Optometrist
- Lafayette, IN
National Provider Identifier
1124180799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002997A
- Practice address
- 2200 Elmwood Ave
Lafayette, IN 47904-2358 - Phone
- (765) 446-2814
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002997A | IN | Primary |
Addresses
Primary practice location
2200 Elmwood Ave
Lafayette, IN 47904-2358
Mailing address
2200 Elmwood Ave
Lafayette, IN 47904-2358
Phone (765) 446-2814
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
307 Sagamore Pkwy W
Suite a
West Lafayette, IN 47906-1500
Phone (765) 463-4558
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002997A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jek Asset Management, LLC | Optometrist | Current | Accepting new patients |
| Steven C. Mather, O. D., P. C. | Optometrist | Past | Accepting new patients |
| Evans Eye Care Inc | Optometrist | Past | Accepting new patients |
Locations
307 Sagamore Pkwy W
Ste A
West Lafayette, IN 47906
Phone (765) 463-4558
Organizations & group practices 3
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.
-
- Optometrist
- West Lafayette, IN
- NPI 1326437195
-
- Optometrist
- Lafayette, IN
- NPI 1992784599
-
- Optometrist
- Lafayette, IN
- NPI 1023229556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424908800000",
"number": "1124180799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 ELMWOOD AVE",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042358",
"telephone_number": "765-446-2814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 ELMWOOD AVE",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042358",
"telephone_number": "765-446-2814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRCHNER",
"first_name": "JEFFREY",
"middle_name": "EDMUND",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2015-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002997A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.