Individual provider Active NPI

Jeffrey Edmund Kirchner, O.D.

  • Optometrist
  • Lafayette, IN
National Provider Identifier
1124180799
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002997A Issued in IN
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

Updated by the provider on Feb 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080314000486 IN Practitioner - Optometry 1052496023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Jek Asset Management LLCGroup PAC ID 4880919786, 2 clinicians

Practice addresses (Care Compare)

307 Sagamore Pkwy W
Suite a
West Lafayette, IN 47906-1500
Phone (765) 463-4558

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002997AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jek Asset Management, LLC Optometrist CurrentSince Jan 23, 2015 Accepting new patients
Steven C. Mather, O. D., P. C. Optometrist PastSince Nov 30, 2010 Accepting new patients
Evans Eye Care Inc Optometrist PastSince Jun 2, 2025 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.

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

Verify at the official NPI Registry.