Individual
DR. KURT L EBERSOLE
Active
Individual
DR. KURT L EBERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3408
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000129592
ANTHEM BC/BS
OH
05
—
0893083
—
OH
01
—
3408
STATE LICENSE
OH
01
—
4628541
AETNA
OH
Enumeration date
07/27/2005
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up