Individual provider Active NPI

Karl Michael Ermis, O.D.

  • Optometrist
  • El Campo, TX
National Provider Identifier
1972509461
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4459TG Issued in TX
Practice address
2012 W Loop St
El Campo, TX 77437-8030
Phone
(979) 543-6821
Fax
(979) 543-6817
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4459TG TX Primary

Addresses

Primary practice location

2012 W Loop St
El Campo, TX 77437-8030

Mailing address

2012 W Loop St
El Campo, TX 77437-8030
Phone (979) 543-6821

Other identifiers 1

IdentifierTypeStateIssuer
131011207MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address karl.ermis@direct.berkeleyeye.com Berkeley Eye Institute, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100319000776 TX Practitioner - Optometry 6103951819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkeley Eye Institute, PLLCGroup PAC ID 4082602156, 62 clinicians

Practice addresses (Care Compare)

2012 W Loop
El Campo, TX 77437-8030
Phone (979) 543-6821

605 Medical CT
Suite 203
Brenham, TX 77833-5406
Phone (979) 830-1444

Merit-based Incentive Payment System (MIPS)

Final score
89.82 of 100Reported as group
Quality
81.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Eye Institute, PLLC Optometrist Current Accepting new patients
Berkeley Eye Institute, PLLC Optometrist CurrentSince Jul 1, 2003 Accepting new patients
Berkeley Eye Institute, PLLC Optometrist CurrentSince Jul 1, 2003 Accepting new patients
Clear Lake Eye Center LLP Optometrist Past Accepting new patients

Locations

6500 7th St
Ste 200
Bay City, TX 77414
Phone (979) 318-3204

605 Medical Ct
Ste 203
Brenham, TX 77833
Phone (979) 353-5556

1256 N Mechanic St
El Campo, TX 77437
Phone (713) 526-1600

2012 West Loop
El Campo, TX 77437
Phone (979) 543-6821

3100 Weslayan St
Ste 400
Houston, TX 77027
Phone (713) 526-1600

Organizations & group practices 4

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1972509461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 W LOOP ST",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774378030",
            "telephone_number": "979-543-6821",
            "fax_number": "979-543-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 W LOOP ST",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774378030",
            "telephone_number": "979-543-6821",
            "fax_number": "979-543-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERMIS",
        "first_name": "KARL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4459TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131011207",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karl.ermis@direct.berkeleyeye.com",
            "affiliation": "Y",
            "affiliationName": "Berkeley Eye Institute, PLLC",
            "address_1": "2012 W Loop St",
            "city": "El Campo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774378030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Campo, TX

Sources for this page

Verify at the official NPI Registry.