Ky Doctors of Optometry, PLLC

A Medicare group practice based in Louisville, KY: 23 NPIs enrolled under one PECOS associate control ID (PAC ID 0941108732), with 128 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0941108732The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Optician, DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
Enrolled in
KY, TN
Enrollments
23
Group size
64 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
58In 27 places

Enrollment records 23

Enrollment IDStateProvider typeNPI
O20031231000020 KY Part B Supplier - Clinic/Group Practice 1700890001
O20040920001189 TN Part B Supplier - Clinic/Group Practice 1194739490
O20110106001161 KY DME Supplier - Physician - Optometrist 1699086629
O20100930040633 KY DME Supplier - Physician - Optometrist 1407930712
O20100930062433 KY DME Supplier - Physician - Optometrist 1538309919
O20100930053355 KY DME Supplier - Physician - Optometrist 1275617276
O20100930047767 KY DME Supplier - Optician 1255415410
O20100930015527 KY DME Supplier - Physician - Optometrist 1427131176
O20100930015526 KY DME Supplier - Physician - Optometrist 1306920632
O20100930030040 KY DME Supplier - Physician - Optometrist 1982787776
O20100930028030 KY DME Supplier - Physician - Optometrist 1205919099
O20100930003002 KY DME Supplier - Physician - Optometrist 1477637726
O20100930078481 KY DME Supplier - Physician - Optometrist 1689757460
O20100930078483 KY DME Supplier - Physician - Optometrist 1598849747
O20100930080354 KY DME Supplier - Physician - Optometrist 1851523575
O20170109002327 KY DME Supplier - Physician - Optometrist 1740644947
O20161228000435 KY DME Supplier - Physician - Optometrist 1083160915
O20140114000546 KY DME Supplier - Physician - Optometrist 1417384207
O20131024000761 KY DME Supplier - Physician - Optometrist 1790118776
O20170908003308 KY DME Supplier - Physician - Optometrist 1649626870
O20120522000972 KY DME Supplier - Physician - Optometrist 1235415365
O20151217002221 KY DME Supplier - Physician - Optometrist 1477924884
O20250402001784 KY DME Supplier - Physician - Optometrist 1801610985

NPIs in this group 23

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 128

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (128) or whom Care Compare lists as members (64).

Sources for this page