Active NPI
Todd F Lewis, O.D.
- Optometrist
- Louisville, KY
National Provider Identifier
1013901180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1184DT
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77011849 | Medicaid | KY |
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 |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.