Individual provider Active NPI

Michael Eugene Gewe, O.D.

  • Corneal and Contact Management Optometrist
  • Nashville, IL
National Provider Identifier
1417935347
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
046006845 Issued in IL
Practice address
18 Windswept Dr
Nashville, IL 62263-5048
Phone
(618) 314-0184
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 046006845 IL Primary

Addresses

Primary practice location

18 Windswept Dr
Nashville, IL 62263-5048

Mailing address

18 Windswept Dr
Nashville, IL 62263-1710
Phone (618) 314-0184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael E Gewe OD PC Corneal and Contact Management CurrentSince Nov 8, 2007 Accepting new patients

Locations

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

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1417935347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WINDSWEPT DR",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631710",
            "telephone_number": "618-314-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WINDSWEPT DR",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622635048",
            "telephone_number": "618-314-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEWE",
        "first_name": "MICHAEL",
        "middle_name": "EUGENE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046006845",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 14, 2017; 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.