Michael a Egger OD PC

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

1340ATI Issued in OR

Legal business name

MICHAEL A EGGER OD PC

Practice address

1103 Linn Ave
Oregon City, OR 97045-3634

Phone

(503) 655-2522

Fax

(503) 655-0300

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael A. Egger, O.D.NPI 1427047273

Title

Owner

Phone

(503) 655-2522

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael A Egger, O.D.

  • Pediatric Optometrist
  • Oregon City, OR
  • NPI 1427047273

  Pediatrics

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1801969720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 LINN AVE",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453634",
            "telephone_number": "503-655-2522",
            "fax_number": "503-655-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 LINN AVE",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453634",
            "telephone_number": "503-655-2522",
            "fax_number": "503-655-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A EGGER OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "EGGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-655-2522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "OR",
            "license": "1340ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14417-0",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John J Meredith, RN
• Christopher Merkle
• Spencer Meyer
• Carol Ann Meyers, M.A.
• Natalie R Mich, LAC
• Calla Michalak
• Michelle R. Bloemers, DMD, LLC
• Diane Hoffman Milia, MA LPC LCAT ATR-BC
• Celeste Miller
• David Miller, RPH

• Pediatric Optometrist in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Pediatric Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.