Individual provider Active NPI

Kevin Michael Biermann, O.D.

  • Optometrist
  • Washington, MO
National Provider Identifier
1851520175
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2009017799 Issued in MO
Practice address
3071 Phoenix Center Dr
Washington, MO 63090-5690
Phone
(636) 777-2345
Fax
(636) 777-2115
NPI assigned
Jul 8, 2009
Last updated
Apr 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2009017799 MO Primary

Addresses

Primary practice location

3071 Phoenix Center Dr
Washington, MO 63090-5690

Mailing address

40 E North St
Eureka, MO 63025-1205
Phone (636) 200-4393

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
I20100724000196 MO Practitioner - Optometry 3072645100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Biermann Eye Health P.C.Group PAC ID 0143453506, 3 clinicians

Practice addresses (Care Compare)

320 Washington Ave
Washington, MO 63090-3218
Phone (636) 239-2179

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Biermann Eye Health P.C. Optometrist CurrentSince Apr 1, 2014 Accepting new patients

Locations

277 W Veterans Memorial Pkwy
Warrenton, MO 63383
Phone (618) 234-3053

320 Washington Ave
Washington, MO 63090
Phone (314) 239-2179

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": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1851520175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E NORTH ST",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251205",
            "telephone_number": "636-200-4393",
            "fax_number": "636-938-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 PHOENIX CENTER DR",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630905690",
            "telephone_number": "636-777-2345",
            "fax_number": "636-777-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERMANN",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2009017799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

Verify at the official NPI Registry.