Active NPI
Donald L Richardson, O.D.
- Optometrist
- Somerset, KY
National Provider Identifier
1003904004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 991DTKY
- Practice address
- 246 Poplar Ave
Suite 1
Somerset, KY 42503-1701 - Phone
- (606) 679-5588
- Fax
- (606) 677-9394
- NPI assigned
- Oct 11, 2006
- Last updated
- May 26, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 991DTKY | KY | Primary |
Addresses
Primary practice location
246 Poplar Ave
Suite 1
Somerset, KY 42503-1701
Mailing address
246 Poplar Ave
Suite 1
Somerset, KY 42503-1701
Phone (606) 679-5588
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050121000121 | KY | Practitioner - Optometry | 2264481761 | Practice locations: Somerset, KY |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
246 Poplar Ave
Suite 1
Somerset, KY 42503-1701
Phone (606) 679-5588
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 991DTKY | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Don Richardson,PSC | Optometrist | Current | Accepting new patients |
Locations
246 Poplar Ave
Ste 1
Somerset, KY 42503
Phone (606) 679-5588
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432598400000",
"number": "1003904004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 POPLAR AVE",
"address_2": "SUITE 1",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425031701",
"telephone_number": "606-679-5588",
"fax_number": "606-677-9394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 POPLAR AVE",
"address_2": "SUITE 1",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425031701",
"telephone_number": "606-679-5588",
"fax_number": "606-677-9394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "DONALD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2015-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "991DTKY",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.