Active NPI
Hayley M Woodruff, OD
- Optometrist
- Louisville, KY
National Provider Identifier
1073609111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1614DT
- Practice address
- 1536 Story Ave
The Eye Care Institute Building
Louisville, KY 40206-1738 - Phone
- (502) 589-1500
- Fax
- (502) 589-1556
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 1614DT | KY | Primary |
Addresses
Primary practice location
1536 Story Ave
The Eye Care Institute Building
Louisville, KY 40206-1738
Mailing address
1536 Story Ave
The Eye Care Institute Building
Louisville, KY 40206-1738
Phone (502) 589-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77001253 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 60.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1614DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Associates, PSC | Optometrist | Current | Accepting new patients |
Locations
1536 Story Ave
Louisville, KY 40206
Phone (502) 589-1500
Interoperability endpoints
- hwoodruff@eyecareinstitute.intellechartdirect.net
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": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073609111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1536 STORY AVE",
"address_2": "THE EYE CARE INSTITUTE BUILDING",
"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",
"address_2": "THE EYE CARE INSTITUTE BUILDING",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402061738",
"telephone_number": "502-589-1500",
"fax_number": "502-589-1556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODRUFF",
"first_name": "HAYLEY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1614DT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77001253",
"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 Jul 8, 2007; 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.