Individual provider Active NPI

Todd F Lewis, O.D.

  • Optometrist
  • Louisville, KY
National Provider Identifier
1013901180
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1184DT Issued in KY
Practice address
5338 S 3Rd St
Louisville, KY 40214-2675
Phone
(502) 366-4530
Fax
(502) 366-4590
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1184DT KY Primary

Addresses

Primary practice location

5338 S 3Rd St
Louisville, KY 40214-2675

Mailing address

5338 S 3Rd St
Louisville, KY 40214-2675
Phone (502) 366-4530

Other identifiers 1

IdentifierTypeStateIssuer
77011849MedicaidKY

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
I20060206000609 KY Practitioner - Optometry 2062426414 Practice locations: Louisville, KY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5338 S 3Rd St
Suite 102
Louisville, KY 40214-2675
Phone (502) 366-4530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1013901180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5338 S 3RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402142675",
            "telephone_number": "502-366-4530",
            "fax_number": "502-366-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5338 S 3RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402142675",
            "telephone_number": "502-366-4530",
            "fax_number": "502-366-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "TODD",
        "middle_name": "F",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1184DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77011849",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.