Individual provider Active NPI

Renee S McEntire, O.D.

  • Optometrist
  • Louisville, KY
National Provider Identifier
1043240757
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003404A Issued in IN
Practice address
1536 Story Ave
Louisville, KY 40206-1738
Phone
(502) 589-1500
Fax
(502) 589-1556
NPI assigned
Jul 5, 2006
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1678DT KY
Optometrist 152W00000X 18003404A IN Primary

Addresses

Primary practice location

1536 Story Ave
Louisville, KY 40206-1738

Mailing address

1536 Story Ave
Louisville, KY 40206-1738
Phone (502) 589-1500

Other practice location 1

600 S Main St
Salem, IN 47167-1040
Phone (812) 883-2700

Other identifiers 5

IdentifierTypeStateIssuer
18003404AOtherINOD LICENSE NUMBER
200854690MedicaidIN
1678DTOtherKYOD LICENSE NUMBER
000000531030OtherKYANTHEM BCBS
7100025620MedicaidKY

Other names 1

  • Dr. Renee S Compton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070402000677 KY Practitioner - Optometry 1052415916 Reassigns benefits to 1 organization
I20070728000002 IN Practitioner - Optometry 1052415916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Associates, PSCGroup PAC ID 5991602757, 7 clinicians

Practice addresses (Care Compare)

1536 Story Ave
Louisville, KY 40206-1738
Phone (502) 589-1500

Merit-based Incentive Payment System (MIPS)

Final score
88.06 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
60.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1678DTKYMDOptometrist
1678KYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Associates, PSC Optometrist CurrentSince Jun 1, 2022 Accepting new patients
Insight Eyecare Associates Inc Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Advanced Focus Care LLC Optometrist CurrentSince Jul 28, 2020 Accepting new patients
Eye Associates of Southern Indiana Past Accepting new patients

Locations

1536 Story Ave
Louisville, KY 40206
Phone (502) 589-1500

Interoperability endpoints

  • Direct secure messaging: rcompton@insight.eyefinity-direct.com

Organizations & group practices 4

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1043240757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 STORY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061738",
            "telephone_number": "502-589-1500",
            "fax_number": "502-589-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 STORY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061738",
            "telephone_number": "502-589-1500",
            "fax_number": "502-589-1556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S Main St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "IN",
            "postal_code": "471671040",
            "country_code": "US",
            "telephone_number": "812-883-2700",
            "fax_number": "812-883-2752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCENTIRE",
        "first_name": "RENEE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1678DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003404A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LICENSE NUMBER",
            "identifier": "18003404A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200854690",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LICENSE NUMBER",
            "identifier": "1678DT",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000531030",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100025620",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "COMPTON",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.