Individual provider Active NPI

George Nicholas Eischens, O.D.

  • Optometrist
  • Prattville, AL
National Provider Identifier
1487657912
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-983-TA 555 Issued in AL
Practice address
605 Jasmine TRL
Prattville, AL 36066-3661
Phone
(334) 365-2020
Fax
(334) 365-4845
NPI assigned
May 30, 2005
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X S983TA555 AL
Low Vision Rehabilitation Optometrist 152WL0500X S983TA555 AL
Vision Therapy Optometrist 152WV0400X S-983-TA-555 AL
Optometrist 152W00000X S-983-TA 555 AL Primary

Addresses

Primary practice location

605 Jasmine TRL
Prattville, AL 36066-3661

Mailing address

605 Jasmine TRL
Prattville, AL 36066-3661
Phone (334) 365-2020

Other identifiers 2

IdentifierTypeStateIssuer
51509621OtherALBLUE CROSS BLUE SHELD NUM
051509621MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20080506000705 AL Practitioner - Optometry 1658450333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barry J McNamara OD PCGroup PAC ID 5496826877, 2 clinicians

Practice addresses (Care Compare)

605 Jasmine TRL
Prattville, AL 36066-3661
Phone (334) 365-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-983-TA 555ALMDOptometrist
S-983-TA-555ALMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Barry J McNamara OD PC Optometrist CurrentSince Apr 1, 2017 Accepting new patients

Locations

605 Jasmine Trl
Prattville, AL 36066
Phone (334) 365-2020

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.

NPI Registry JSON

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1487657912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 JASMINE TRL",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360663661",
            "telephone_number": "334-365-2020",
            "fax_number": "334-365-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 JASMINE TRL",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360663661",
            "telephone_number": "334-365-2020",
            "fax_number": "334-365-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISCHENS",
        "first_name": "GEORGE",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AL",
            "license": "S983TA555",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "AL",
            "license": "S983TA555",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "AL",
            "license": "S-983-TA-555",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-983-TA 555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHELD NUM",
            "identifier": "51509621",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051509621",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

Verify at the official NPI Registry.