Active NPI
Dani Joelle Gogel, O.D.
- Optometrist
- Shepherdsville, KY
National Provider Identifier
1629416748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003782A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
Practice addresses (Care Compare)
7117 Hwy 311
Suite 300
Sellersburg, IN 47172-1807
Phone (812) 944-9944
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1921 | KY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Focus Care LLC | Optometrist | Current | Accepting new patients |
| Seth J Summers OD PSC | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.