Individual provider Active NPI

Elizabeth M Eckhart, O. D.

  • Optometrist
  • Huber Heights, OH
National Provider Identifier
1184975419
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6122 Issued in OH
Practice address
6557 Brandt Pike
Huber Heights, OH 45424-3353
Phone
(937) 236-1770
NPI assigned
Sep 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 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 6122 OH Primary

Addresses

Primary practice location

6557 Brandt Pike
Huber Heights, OH 45424-3353

Mailing address

59 Green St
Apt C
Dayton, OH 45402-2867
Phone (937) 902-1667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20121218000170 OH Practitioner - Optometry 6800048935 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kunesh Eye Center, IncGroup PAC ID 2163455999, 5 clinicians

Practice addresses (Care Compare)

110 E 3Rd St
Dayton, OH 45402-2130
Phone (937) 709-3230

2601 Far Hills Ave
Oakwood, OH 45419-1634
Phone (937) 298-1703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kunesh Eye Center, Inc CurrentSince Feb 5, 2025 Accepting new patients
Procare of Troy LLC Optometrist CurrentSince Apr 3, 2023 Accepting new patients
Gem City Vision, LLC Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Kunesh Eye Center, Inc CurrentSince Feb 5, 2025 Accepting new patients
Optometric Management Group LLC Optometrist PastSince Apr 3, 2023 Accepting new patients

Locations

110 E 3rd St
Dayton, OH 45402
Phone (937) 709-3230

2601 Far Hills Ave
Oakwood, OH 45419
Phone (937) 298-1093

1861 Towne Park Dr
Ste A
Troy, OH 45373
Phone (937) 339-7956

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: elizabeth.eckhart.p1@direct.kunesheyecenter.nextgenshare.com

Organizations & group practices 6

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": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1184975419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 GREEN ST",
            "address_2": "APT C",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022867",
            "telephone_number": "937-902-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6557 BRANDT PIKE",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454243353",
            "telephone_number": "937-236-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKHART",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

Verify at the official NPI Registry.