Dr. James D. Egbert, Optometrist, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR. JAMES D. EGBERT, OPTOMETRIST, INC.

Practice address

2418 Esquire Dr
Beavercreek, OH 45431-4203

Phone

(937) 429-3010

Fax

(937) 429-3307

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Janet A Yeazel

Title

Insurance Coordinator

Phone

(937) 236-1770

Specialties & licenses 1

Addresses

Other names 1

• Gemini Eye Care Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dr. James D. Egbert, Optometrist, Inc.

  • Optometrist
  • Miamisburg, OH
  • NPI 1306962980

  O20050627000118

  Same enrollment
• Dr. James D. Egbert, Optometrist, Inc.

  • Optometrist
  • Huber Heights, OH
  • NPI 1841321809

  O20050627000118

  Same enrollment

Locations

Practitioners 3

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

• Robert W Ekin, O.D.

  • Optometrist
  • Hamilton, OH
  • NPI 1891809703
  NPD (past)
• Faith O. Salyer, OD

  • Optometrist
  • Troy, OH
  • NPI 1013092279
  NPD (past)
• Paul A Kusy, O.D.

  • Optometrist
  • Topeka, KS
  • NPI 1609185693
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1174649743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 ESQUIRE DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454314203",
            "telephone_number": "937-429-3010",
            "fax_number": "937-429-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 ESQUIRE DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454314203",
            "telephone_number": "937-429-3010",
            "fax_number": "937-429-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAMES D. EGBERT, OPTOMETRIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "YEAZEL",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "937-236-1770"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gemini Eye Care Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.