Individual provider Active NPI

Andrew Morgan Harvey, OD

  • Optometrist
  • Louisville, KY
National Provider Identifier
1003080656
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1702DT Issued in KY
Practice address
12406 La Grange Rd Ste 202
Louisville, KY 40245-1904
Phone
(502) 243-3733
Fax
(502) 243-3734
NPI assigned
Apr 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1702DT KY Primary

Addresses

Primary practice location

12406 La Grange Rd Ste 202
Louisville, KY 40245-1904

Mailing address

12406 La Grange Rd Ste 202
Louisville, KY 40245-1904
Phone (502) 243-3733

Other identifiers 5

IdentifierTypeStateIssuer
7100100120OtherKYGROUP MEDICAID
1790018034OtherKYGROUP NPI
P00920357OtherKYRR MEDICARE
1003080656OtherKYNPI
7100041380MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20080602000437 KY Practitioner - Optometry 6204906324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harveyeye, PLLCGroup PAC ID 2769521194, 2 clinicians

Practice addresses (Care Compare)

12406 La Grange Rd
Suite 202
Louisville, KY 40245-1904
Phone (502) 243-3733

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1702DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Harveyeye, PLLC Optometrist CurrentSince Nov 16, 2009 Accepting new patients
Core Health Centers of Forest Springs, LLC PastSince Nov 1, 2023 Accepting new patients

Locations

12406 La Grange Rd
Ste 202
Louisville, KY 40245
Phone (502) 243-3733

9474 Brownsboro Rd
Louisville, KY 40241
Phone (502) 429-8741

Networks

  • KY PPO C-SNP
  • KY PPO

Organizations & group practices 2

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": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1003080656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12406 LA GRANGE RD STE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402451904",
            "telephone_number": "502-243-3733",
            "fax_number": "502-243-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12406 LA GRANGE RD STE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402451904",
            "telephone_number": "502-243-3733",
            "fax_number": "502-243-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "ANDREW",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1702DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "7100100120",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1790018034",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00920357",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003080656",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100041380",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.