Individual provider Active NPI

Milan R Genge, D.O.

  • Ophthalmology Physician
  • Wilson, NC
National Provider Identifier
1457313363
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2005-00746 Issued in NC
Practice address
1707 Medical Park Dr W
Suite 1
Wilson, NC 27893-2788
Phone
(252) 291-7008
Fax
(252) 291-1281
NPI assigned
Apr 5, 2006
Last updated
May 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 2005-00746 NC
Ophthalmology Physician 207W00000X 2005-00746 NC Primary

Addresses

Primary practice location

1707 Medical Park Dr W
Suite 1
Wilson, NC 27893-2788

Mailing address

1707 Medical PK Dr W
Suite 1
Wilson, NC 27893-2788
Phone (252) 291-7008

Other practice location 1

3044 Sunset Ave
Rocky Mount, NC 27804-3647
Phone (252) 443-6129

Other identifiers 1

IdentifierTypeStateIssuer
5902056MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050825000159 NC Practitioner - Ophthalmology 1254362601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Eye Associates PAGroup PAC ID 4981633914, 4 clinicians

Practice addresses (Care Compare)

1707 Medical Park Dr W
Suite 1
Wilson, NC 27893-2876
Phone (252) 291-7008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2005-00746NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Eye Associates PA Ophthalmology CurrentSince Aug 22, 2005 Accepting new patients

Locations

3044 Sunset Ave
Rocky Mount, NC 27804
Phone (252) 443-6129

1707 Medical Park Dr W
Wilson, NC 27893
Phone (252) 243-3559

1707 Medical Park Dr W
Ste 1
Wilson, NC 27893
Phone (252) 291-7008

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: milan.genge@direct.medicaleyenc.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1457313363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 MEDICAL PK DR W",
            "address_2": "SUITE 1",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932788",
            "telephone_number": "252-291-7008",
            "fax_number": "252-291-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 MEDICAL PARK DR W",
            "address_2": "SUITE 1",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932788",
            "telephone_number": "252-291-7008",
            "fax_number": "252-291-1281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3044 Sunset Ave",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278043647",
            "country_code": "US",
            "telephone_number": "252-443-6129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENGE",
        "first_name": "MILAN",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NC",
            "license": "2005-00746",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2005-00746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902056",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.