Individual provider Active NPI

Kevin F Loge, O.D.

  • Optometrist
  • Terre Haute, IN
National Provider Identifier
1932156528
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002537 Issued in IN
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040915000173 IN Practitioner - Optometry 5698742088 Reassigns benefits to 1 organization
Practice locations: Terre Haute, IN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002537INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Vision Care Kentucky, LLC Optometrist CurrentSince Sep 23, 2021 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

Verify at the official NPI Registry.