Organization Active NPI

Unger Eye Care PC

  • Optometrist
  • Troy, IL
National Provider Identifier
1144379850
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.008303 Issued in IL
Legal business name
UNGER EYE CARE PC
Practice address
534 Edwardsville Rd
Troy, IL 62294-1338
Phone
(618) 667-2020
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Dr. Thomas K Unger, O.D.NPI 1629158092
Title
Director and Officer
Phone
(618) 667-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046.008303 IL Primary

Addresses

Primary practice location

534 Edwardsville Rd
Troy, IL 62294-1338

Mailing address

534 Edwardsville Rd
Troy, IL 62294-1338
Phone (618) 667-2020

Other identifiers 4

IdentifierTypeStateIssuer
046008303MedicaidIL
046008423MedicaidIL
CJ3828OtherILDR. THOMAS UNGER
CJ3828OtherILDR. ALICE UNGER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080612000817 IL Part B Supplier - Clinic/Group Practice 9931270303 Receives reassigned benefits from 2 practitioners
Practice locations: Edwardsville, IL; Troy, IL
O20100930061401 IL DME Supplier - Physician - Optometrist 9931270303 Practice locations: Troy, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2066318Unger Eye Care534 Edwardsville Rd, Troy, IL 62294Certificate of waiverSep 24, 2027

National Provider Directory

National Provider Directory

Locations

449 S State Route 157
Ste 2020
Edwardsville, IL 62025
Phone (618) 667-2020

449 S State Route 157
Edwardsville, IL 62025
Phone (618) 407-5584

534 Edwardsville Rd
Troy, IL 62294
Phone (618) 667-2000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1144379850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 EDWARDSVILLE RD",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622941338",
            "telephone_number": "618-667-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 EDWARDSVILLE RD",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622941338",
            "telephone_number": "618-667-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNGER EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "UNGER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR AND OFFICER",
        "authorized_official_telephone_number": "618-667-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.008303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008303",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008423",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. THOMAS UNGER",
            "identifier": "CJ3828",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. ALICE UNGER",
            "identifier": "CJ3828",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.