Active NPI
Kevin F Loge, O.D.
- Optometrist
- Terre Haute, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002537
- Practice address
- 114 W Honey Creek Pkwy
Terre Haute, IN 47802-4114 - Phone
- (812) 234-6500
- Fax
- (812) 232-8921
- NPI assigned
- May 28, 2006
- Last updated
- Aug 1, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002537 | IN | Primary |
Addresses
Primary practice location
114 W Honey Creek Pkwy
Terre Haute, IN 47802-4114
Mailing address
2195 Dutch LN
Terre Haute, IN 47802-2761
Phone (812) 242-1599
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002537 | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Vision Care Kentucky, LLC | Optometrist | Current | Accepting new patients |
| Vision Service Corporation | Optometrist | Past | Accepting new patients |
Locations
5405 Pearl Dr
Ste 4
Evansville, IN 47712
Phone (812) 426-2066
6614 Logan Dr
Evansville, IN 47715
Phone (812) 477-6700
114 W Honey Creek Pkwy
Terre Haute, IN 47802
Phone (812) 234-6500
316 S Hamilton Rd
Gahanna, OH 43230
Organizations & group practices 2
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": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1932156528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2195 DUTCH LN",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478022761",
"telephone_number": "812-242-1599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 W HONEY CREEK PKWY",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024114",
"telephone_number": "812-234-6500",
"fax_number": "812-232-8921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGE",
"first_name": "KEVIN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.