Individual provider Active NPI

Michael A Egger, O.D.

  • Pediatric Optometrist
  • Oregon City, OR
National Provider Identifier
1427047273
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
1340AT Issued in OR
Practice address
1103 Linn Ave
Oregon City, OR 97045-3634
Phone
(503) 655-2522
Fax
(503) 655-0300
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 1340AT OR Primary

Addresses

Primary practice location

1103 Linn Ave
Oregon City, OR 97045-3634

Mailing address

1103 Linn Ave
Oregon City, OR 97045-3634
Phone (503) 655-2522

Other identifiers 1

IdentifierTypeStateIssuer
144170MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20101209001234 OR Practitioner - Optometry 3173710696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1103 Linn Ave
Oregon City, OR 97045-3634
Phone (503) 655-2522

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1340ATORMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a Egger OD PC Pediatrics CurrentSince Jun 15, 1977 Accepting new patients

Locations

1103 Linn Ave
Oregon City, OR 97045
Phone (503) 655-2522

Interoperability endpoints

  • Direct secure messaging: drmike@familyvisioncare.eyeclinicdirect.net

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1427047273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 LINN AVE",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453634",
            "telephone_number": "503-655-2522",
            "fax_number": "503-655-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 LINN AVE",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453634",
            "telephone_number": "503-655-2522",
            "fax_number": "503-655-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGER",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "OR",
            "license": "1340AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144170",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

Verify at the official NPI Registry.