Individual provider Active NPI

Daniel Michael Eichenbaum, M.D.

  • Ophthalmology Physician
  • Murphy, NC
National Provider Identifier
1992706196
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
28854 Issued in NC
Practice address
1321 W US Highway 64
Murphy, NC 28906-3361
Phone
(828) 837-5404
Fax
(828) 837-5621
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 28854 NC Primary
Ophthalmology Physician 207W00000X 036372 GA

Addresses

Primary practice location

1321 W US Highway 64
Murphy, NC 28906-3361

Mailing address

1321 W US Highway 64
Murphy, NC 28906-3361
Phone (828) 837-5404

Other identifiers 3

IdentifierTypeStateIssuer
00380751BMedicaidGA
30252OtherNCBLUE CROSS BLUE SHIELD
8930252MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040126000760 GA Practitioner - Ophthalmology 5991607251 Reassigns benefits to 1 organization
I20080401000784 NC Practitioner - Ophthalmology 5991607251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1321 W US Hwy 64
Murphy, NC 28906-3361
Phone (828) 837-5404

380 Bracketts Way
Blairsville, GA 30512-2851
Phone (706) 745-9777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery144
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel M Eichenbaum, MD, PA Ophthalmology CurrentSince May 26, 1988 Accepting new patients

Locations

1321 W US Highway 64
Murphy, NC 28906
Phone (828) 837-5404

144 Medical Center Dr
Ste E
Copperhill, TN 37317
Phone (423) 496-5511

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1992706196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 W US HIGHWAY 64",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289063361",
            "telephone_number": "828-837-5404",
            "fax_number": "828-837-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 W US HIGHWAY 64",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289063361",
            "telephone_number": "828-837-5404",
            "fax_number": "828-837-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHENBAUM",
        "first_name": "DANIEL",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "28854",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "036372",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00380751B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30252",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8930252",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

Sources for this page

Verify at the official NPI Registry.