Active NPI
Donald J. Egan, O.D.
- Optometrist
- Pikeville, KY
National Provider Identifier
1992772586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2000DT
- Practice address
- 147 Sycamore St
Pikeville, KY 41501-9118 - Phone
- (606) 218-5528
- NPI assigned
- Mar 2, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OE004980P | PA | |
| Optometrist | 152W00000X | 2000DT | KY | Primary |
Addresses
Primary practice location
147 Sycamore St
Pikeville, KY 41501-9118
Mailing address
147 Sycamore St
Pikeville, KY 41501-9118
Phone (606) 218-5528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001204702 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OE004980P | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Past | Accepting new patients |
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.
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1992772586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 SYCAMORE ST",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415019118",
"telephone_number": "606-218-5528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 SYCAMORE ST",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415019118",
"telephone_number": "606-218-5528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "DONALD",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OE004980P",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "2000DT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001204702",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pikeville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.