Kevin H Egan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002412 Issued in IN

Practice address

2746 Old US 20 W
Elkhart, IN 46514-1364

Phone

(574) 293-3545

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boling Vision Center LLCGroup PAC ID 6103921556, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.44 of 100Reported as group

Quality

100

Improvement activities

40

Cost

74.81

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Boling Vision Center, LLC

  • Ophthalmology Physician
  • Elkhart, IN
  • NPI 1003851445
  Medicare reassignment Care Compare group NPD
• Boling Vision Center, LLC

  • Eyewear Supplier
  • Goshen, IN
  • NPI 1467585885
  NPD

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1902837339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2746 OLD US 20 W",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141364",
            "telephone_number": "574-293-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2746 OLD US 20 W",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141364",
            "telephone_number": "574-293-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "KEVIN",
        "middle_name": "H",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00407202",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East 53Rd Street Dental-3, PC (Pippin Dental)
• Echoto Go LLC
• Angela Lyn Eden
• Kelli Edge
• Luke Stephen Edwards, FNP-BC
• Jessica Marie Eichorst, ATC
• Eifler's Elkhart Podiatry Clinic, LLC
• Bridget Rose Elijah, OTR
• Michaela Elijah, OTR
• Elite Emergency Physicians Inc

• Optometrist in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.