Individual provider Active NPI

Dani Joelle Gogel, O.D.

  • Optometrist
  • Shepherdsville, KY
National Provider Identifier
1629416748
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003782A Issued in IN
Practice address
544 Conestoga Pkwy
Suite 17
Shepherdsville, KY 40165-5674
Phone
(502) 955-2020
Fax
(502) 736-4490
NPI assigned
Jun 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003782A IN Primary

Addresses

Primary practice location

544 Conestoga Pkwy
Suite 17
Shepherdsville, KY 40165-5674

Mailing address

181 Highway 44 E
Suite 4
Shepherdsville, KY 40165-6081
Phone (502) 955-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130925000240 IN Practitioner - Optometry 7214171677 Reassigns benefits to 1 organization
I20210602001907 KY Practitioner - Optometry 7214171677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Focus Care LLCGroup PAC ID 8426279399, 3 clinicians

Practice addresses (Care Compare)

7117 Hwy 311
Suite 300
Sellersburg, IN 47172-1807
Phone (812) 944-9944

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1921KYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Focus Care LLC Optometrist CurrentSince May 19, 2018 Accepting new patients
Seth J Summers OD PSC Optometrist CurrentSince Apr 18, 2021 Accepting new patients

Locations

5120 Charlestown Rd
Ste 4
New Albany, IN 47150
Phone (812) 944-9944

4036 Dutchmans Ln
Louisville, KY 40207
Phone (502) 894-0322

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1629416748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 HIGHWAY 44 E",
            "address_2": "SUITE 4",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656081",
            "telephone_number": "502-955-2020",
            "fax_number": "502-736-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 CONESTOGA PKWY",
            "address_2": "SUITE 17",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401655674",
            "telephone_number": "502-955-2020",
            "fax_number": "502-736-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGEL",
        "first_name": "DANI",
        "middle_name": "JOELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003782A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdsville, KY

Sources for this page

Verify at the official NPI Registry.