Andrea Marie Eberle, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

260 Issued in AK

Practice address

10998 Omalley Centre Dr
Ste D
Anchorage, AK 99515-3069

Phone

(907) 344-3700

Fax

(907) 344-3717

NPI assigned

Jul 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

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

Pacific University - College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eberle Eyecare P.C.

  • Optometrist
  • Anchorage, AK
  • NPI 1285952549
  Medicare reassignment NPD Authorized official
• Eyecare Excellence a Professional Corporation

  • Optometrist
  • Kodiak, AK
  • NPI 1437158375
  NPD

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1376742452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10998 OMALLEY CENTRE DR",
            "address_2": "STE D",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153069",
            "telephone_number": "907-344-3700",
            "fax_number": "907-344-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10998 OMALLEY CENTRE DR",
            "address_2": "STE D",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153069",
            "telephone_number": "907-344-3700",
            "fax_number": "907-344-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLE",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Lee Eaton, MD
• Babeck Ebadpour, DMD
• Eben-Ezer Home Care, LLC
• Scott Allan Ebenhoeh, D.O.
• Eberle Eyecare P.C.
• Charles Eberle IV, OTR/L
• Kenneth M Eberle, DDS
• Anita Ebersole
• Delana Eby, MD
• Douglas K Eby, MD

• Optometrist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.