Individual provider Active NPI

Michael Eger, OD

  • Optometrist
  • Louisville, KY
National Provider Identifier
1699839613
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1211DT Issued in KY
Practice address
3563 Springhurst Blvd
Louisville, KY 40241-4144
Phone
(502) 339-7323
Fax
(502) 412-7331
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1211DT KY Primary
Optometrist 152W00000X 18002556A IN

Addresses

Primary practice location

3563 Springhurst Blvd
Louisville, KY 40241-4144

Mailing address

11103 West Ave
Suite 6
San Antonio, TX 78213-1370
Phone (210) 524-6663

Other identifiers 1

IdentifierTypeStateIssuer
77011211MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130424000349 IN Practitioner - Optometry 7315093200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Impressions Optometric Associates, LLCGroup PAC ID 6800281825, 30 clinicians

Practice addresses (Care Compare)

1030 Veterans Pkwy
Clarksville, IN 47129-2354
Phone (812) 282-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002556AINMDOptometrist
1211DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
First Impressions Optometric Associates, LLC Optometrist CurrentSince Feb 6, 2022 Accepting new patients
First Impressions Optometric Associates, LLC Optometrist CurrentSince Feb 6, 2022 Accepting new patients
Ky Doctors of Optometry, PLLC Past Accepting new patients

Locations

1030 Veterans Pkwy
Clarksville, IN 47129
Phone (812) 282-2020

2141 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 446-8010

175 E Houston St
San Antonio, TX 78205
Phone (210) 524-6982

Organizations & group practices 3

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1699839613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVE",
            "address_2": "SUITE 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131370",
            "telephone_number": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3563 SPRINGHURST BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402414144",
            "telephone_number": "502-339-7323",
            "fax_number": "502-412-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGER",
        "first_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1211DT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002556A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77011211",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.