Individual provider Active NPI

Donald L Richardson, O.D.

  • Optometrist
  • Somerset, KY
National Provider Identifier
1003904004
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
991DTKY Issued in KY
Practice address
246 Poplar Ave
Suite 1
Somerset, KY 42503-1701
Phone
(606) 679-5588
Fax
(606) 677-9394
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Other identifiers 2

IdentifierTypeStateIssuer
9213501OtherKYMEDICARE
77009918MedicaidKY

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
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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
991DTKYKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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 and National Provider Directory roles.

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "9213501",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77009918",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.