Kevin Michael Biermann, O.D.

Individual provider Active NPI Optometrist · Washington, MO

NPI 1851520175 · NPPES record last updated Apr 29, 2011

Key facts

NPI
1851520175
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
2009017799 (MO)
Practice address
3071 Phoenix Center Dr
Washington, MO 63090-5690
Phone
(636) 777-2345
Fax
(636) 777-2115
NPI assigned
Jul 8, 2009
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

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. (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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100724000196 MO Practitioner - Optometry 3072645100 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Biermann Eye Health P.C. Optometrist Current
since 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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2009017799 MO Yes

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

Other identifiers

IdentifierTypeStateIssuer
1851520175MedicaidMO

Other providers in Washington, MO

All providers in Washington, MO · Optometrist in Missouri

Sources for this page

Verify at the official NPI Registry.