David D Ernst, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010290 Issued in IL

Practice address

735 Insight Ave
O Fallon, IL 62269-2193

Phone

(618) 628-2903

Fax

(618) 628-2913

NPI assigned

Jul 22, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

University of Nebraska College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Eye Care of Ofallon PCGroup PAC ID 6204926843, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.66 of 100Reported as individual

Quality

69.32

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.ernst@direct.revolutionehr.com

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.

• Family Eye Care of Ofallon PC

  • Optometrist
  • O Fallon, IL
  • NPI 1801926340
  Medicare reassignment Care Compare group NPD Authorized official
• Clarkson Optometry Illinois, P.C.

  • Optometrist
  • Ballwin, MO
  • NPI 1548635758

  IL

  Medicare reassignment NPD
• Clarkson Optometry Illinois, P.C.

  • Optometrist
  • Centralia, IL
  • NPI 1730373648
  NPD
• Granite City Vision, Inc.

  • Preferred Provider Organization
  • Granite City, IL
  • NPI 1174756902

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1306076518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 INSIGHT AVE",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692193",
            "telephone_number": "618-628-2903",
            "fax_number": "618-628-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 INSIGHT AVE",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692193",
            "telephone_number": "618-628-2903",
            "fax_number": "618-628-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNST",
        "first_name": "DAVID",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046010290",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1295778587",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alysa Emmons
• Endearing Home Services LLC
• Envision Health Lab, LLC
• Eric Toennies LLC
• Abigail Ernst
• Esperanza and Healing Counseling PLLC
• Tiffany Esposito, RBT
• Cameron Joseph Evans, D.O.
• Clint Evans
• Ellen Marie Evans

• Optometrist in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.