Individual provider Active NPI

Michael Manuel Alvarez, O.D.

  • Optometrist
  • Loogootee, IN
National Provider Identifier
1326047820
Registry record updated Mar 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002795 Issued in IN
Practice address
403 Walker St
Loogootee, IN 47553-1424
Phone
(812) 295-3163
Fax
(812) 901-6627
NPI assigned
Jul 18, 2005
Last updated
Mar 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002795 IN Primary

Addresses

Primary practice location

403 Walker St
Loogootee, IN 47553-1424

Mailing address

403 Walker St
Loogootee, IN 47553-1424
Phone (260) 415-0267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20041104000659 IN Practitioner - Optometry 0648232496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 W Main St
Loogootee Eye Center
Loogootee, IN 47553-1506
Phone (260) 415-0267

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002795INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Loogootee Eye Center PC Optometrist CurrentSince Feb 17, 2021 Accepting new patients
Michael O Young OD PC Optometrist PastSince May 1, 2004 Accepting new patients
Midwest Eye Center Optometrist Past Accepting new patients
Pearle Vision Inc Past Accepting new patients

Locations

109 W Main St
Loogootee, IN 47553
Phone (260) 415-0267

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742083200000",
    "number": "1326047820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WALKER ST",
            "city": "LOOGOOTEE",
            "state": "IN",
            "postal_code": "475531424",
            "telephone_number": "260-415-0267",
            "fax_number": "260-969-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WALKER ST",
            "city": "LOOGOOTEE",
            "state": "IN",
            "postal_code": "475531424",
            "telephone_number": "812-295-3163",
            "fax_number": "812-901-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "MICHAEL",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2025-03-16",
        "certification_date": "2025-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loogootee, IN

Sources for this page

Verify at the official NPI Registry.