Active NPI
Walter H. Egenmaier, O.D.
- Optometrist
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002611
- Practice address
- 101 NW 1St St
Suite 112
Evansville, IN 47708-1259 - Phone
- (812) 426-2020
- Fax
- (812) 426-2828
- NPI assigned
- Jun 1, 2005
- Last updated
- Sep 3, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002611 | IN | Primary |
| Optometrist | 152W00000X | 1000DT | KY | |
| Optometrist | 152W00000X | 1235 | GA |
Addresses
Primary practice location
101 NW 1St St
Suite 112
Evansville, IN 47708-1259
Mailing address
101 NW 1St St
Suite 112
Evansville, IN 47708-1259
Phone (812) 426-2020
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4544563 | Other | IN | AETNA |
| 87793 | Other | IN | ANTHEM |
| 100377200 | Medicaid | IN | |
| 839180 | Other | IN | MEDICARE |
| 410021835 | Other | IN | PALMENTO GBA |
| 77340404 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 NW 1St St
Suite 112
Evansville, IN 47708-1259
Phone (812) 426-2020
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.2 of 100
- Quality
- 99.56
- Improvement activities
- 40
- Cost
- 74.59
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1235 | GA | MD | Addiction (Substance Use Disorder) Counselor |
| 18002611 | IN | MD | Optometrist |
| 1000DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norman D. Radtke, MD, PSC | Past | Accepting new patients |
Interoperability endpoints
- walteregenmaier@eccs.updoxdirect.com
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Evansville, IN
- NPI 1922061688
-
dba Retina Vitreous Resource Center
- Ophthalmology Physician
- Louisville, KY
- NPI 1992813810
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315008000000",
"number": "1609878990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 NW 1ST ST",
"address_2": "SUITE 112",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477081259",
"telephone_number": "812-426-2020",
"fax_number": "812-426-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NW 1ST ST",
"address_2": "SUITE 112",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477081259",
"telephone_number": "812-426-2020",
"fax_number": "812-426-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGENMAIER",
"first_name": "WALTER",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2011-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002611",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1000DT",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "1235",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4544563",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "87793",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100377200",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "839180",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMENTO GBA",
"identifier": "410021835",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77340404",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
- Joseph Christopher Edwards, APRN STUDENT
- Randall Scott Edwards, DDS
- Rebecca B Edwards, LCSW
- Carlee Ann Effinger
- Erin A Egan, MD
- Nathan Egler, DO
- Eh Health Hospice of the Midwest, LLC (Enhabit Hospice)
- Eh Home Health of the Midwest, LLC (Enhabit Home Health)
- Hilary Lorraine Eickhoff, PA
- Melissa Gail Eisenhauer, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.