Individual provider Active NPI

Daniel Kirchheimer, OD

  • Optometrist
  • Vestal, NY
National Provider Identifier
1871805416
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007554 Issued in NY
Practice address
400 Plaza Dr
Suite B
Vestal, NY 13850-3649
Phone
(607) 798-1987
Fax
(607) 729-8277
NPI assigned
Jul 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007554 NY Primary

Addresses

Primary practice location

400 Plaza Dr
Suite B
Vestal, NY 13850-3649

Mailing address

400 Plaza Dr
Suite B
Vestal, NY 13850-3649
Phone (607) 798-1987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101209000366 NY Practitioner - Optometry 5193912657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susquehanna Eye CareGroup PAC ID 3577539816, 2 clinicians

Practice addresses (Care Compare)

400 Plaza Dr
Suite B
Vestal, NY 13850-3648
Phone (607) 798-1987

400 Plaza Dr
Suite B
Vestal, NY 13850-3649

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
69.39
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007554NYMDOptometrist
007554NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Eye Care Optometrist CurrentSince Sep 19, 2010 Accepting new patients

Locations

400 Plaza Dr
Ste B
Vestal, NY 13850
Phone (607) 798-1987

Interoperability endpoints

  • Direct secure messaging: daniel.kirchheimer@direct.revolutionehr.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1871805416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PLAZA DR",
            "address_2": "SUITE B",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503649",
            "telephone_number": "607-798-1987",
            "fax_number": "607-729-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PLAZA DR",
            "address_2": "SUITE B",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503649",
            "telephone_number": "607-798-1987",
            "fax_number": "607-729-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHHEIMER",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.