Individual provider Active NPI

Cortney Marie Fogarty, O.D.

  • Optometrist
  • Eureka, MO
National Provider Identifier
1629451935
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2015021539 Issued in MO
Practice address
101 S Central Ave
Eureka, MO 63025-2002
Phone
(636) 938-9092
Fax
(636) 938-3105
NPI assigned
Jul 6, 2015
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2015021539 MO Primary

Addresses

Primary practice location

101 S Central Ave
Eureka, MO 63025-2002

Mailing address

101 S Central Ave
Eureka, MO 63025-2002
Phone (636) 938-9092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20150825004109 MO Practitioner - Optometry 5991011744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 S Central Ave
Eureka Eye Care
Eureka, MO 63025-2002
Phone (636) 938-9092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates Partners LLC Optometrist CurrentSince May 13, 2024 Accepting new patients

Locations

101 S Central Ave
Eureka, MO 63025
Phone (636) 938-9092

Interoperability endpoints

  • Direct secure messaging: cortneyfogarty@direct.eyecare-partners.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.

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1629451935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S CENTRAL AVE",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630252002",
            "telephone_number": "636-938-9092",
            "fax_number": "636-938-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S CENTRAL AVE",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630252002",
            "telephone_number": "636-938-9092",
            "fax_number": "636-938-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGARTY",
        "first_name": "CORTNEY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2015021539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, MO

Sources for this page

Verify at the official NPI Registry.