Organization Active NPI

Michael E Gewe OD PC

  • Corneal and Contact Management Optometrist
  • Nashville, IL
National Provider Identifier
1225227135
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
046006845 Issued in IL
Legal business name
MICHAEL E GEWE OD PC
Practice address
250 E Elm St
Nashville, IL 62263-1710
Phone
(618) 327-3231
Fax
(618) 327-8748
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. Michael Eugene Gewe, O.D.NPI 1417935347
Title
President
Phone
(618) 327-3231

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
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 046006845 IL Primary

Addresses

Primary practice location

250 E Elm St
Nashville, IL 62263-1710

Mailing address

250 E Elm St
Nashville, IL 62263-1710
Phone (618) 327-3231

Other identifiers 1

IdentifierTypeStateIssuer
T92292OtherILTPA LICENSE

National Provider Directory

National Provider Directory

Locations

250 E Elm St
Nashville, IL 62263
Phone (618) 327-3231

Practitioners & affiliated clinicians

Practitioners 1

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": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1225227135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E ELM ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631710",
            "telephone_number": "618-327-3231",
            "fax_number": "618-327-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E ELM ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631710",
            "telephone_number": "618-327-3231",
            "fax_number": "618-327-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E GEWE OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "GEWE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-327-3231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046006845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPA LICENSE",
            "identifier": "T92292",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.