Individual provider Active NPI

Alice E Unger, O.D.

  • Optometrist
  • Troy, IL
National Provider Identifier
1265513162
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.008423 Issued in IL
Practice address
534 Edwardsville Rd
Troy, IL 62294-1338
Phone
(618) 667-2020
Fax
(618) 667-0205
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.008423 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 2

IdentifierTypeStateIssuer
CJ3828OtherILMEDICARE RR
046008423MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20080612000845 IL Practitioner - Optometry 6002987476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unger Eye Care PCGroup PAC ID 9931270303, 2 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
046.008423ILMDOptometrist

Interoperability endpoints

  • Direct secure messaging: aliceunger@direct.revolutionehr.com

Organizations & group practices 1

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1265513162",
    "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",
            "fax_number": "618-667-0205"
        },
        {
            "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",
            "fax_number": "618-667-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGER",
        "first_name": "ALICE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.008423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CJ3828",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008423",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, IL

Sources for this page

Verify at the official NPI Registry.