Individual provider Active NPI

Nikolaos Christos Zagorianos, O.D.

  • Optometrist
  • Louisville, KY
National Provider Identifier
1083092126
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1975DT Issued in KY
Practice address
1935 Bluegrass Ave
Suite 200
Louisville, KY 40215-1179
Phone
(502) 364-0033
Fax
(502) 361-4488
NPI assigned
May 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8434T TX
Optometrist 152W00000X 18003891A IN
Optometrist 152W00000X 1975DT KY Primary

Addresses

Primary practice location

1935 Bluegrass Ave
Suite 200
Louisville, KY 40215-1179

Mailing address

1935 Bluegrass Ave
Suite 200
Louisville, KY 40215-1179
Phone (502) 364-0033

Other identifiers 2

IdentifierTypeStateIssuer
7100359770MedicaidKY
201308240MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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
I20150618002362 IN Practitioner - Optometry 1052622958 Reassigns benefits to 1 organization
I20150709000175 KY Practitioner - Optometry 1052622958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of Louisville,PSCGroup PAC ID 4789584921, 31 clinicians

Practice addresses (Care Compare)

108 Bravo Blvd
Glasgow, KY 42141-3412
Phone (502) 895-0040

1935 Bluegrass Ave
Suite 200
Louisville, KY 40215-1181
Phone (502) 895-0040

2200 E Parrish Ave
Owensboro, KY 42303-1449
Phone (502) 895-0040

309 11TH St
Carrollton, KY 41008-1435
Phone (800) 477-0055

4010 Dupont Cir
Suite 380
Louisville, KY 40207-4881
Phone (502) 895-0040

6400 Westwind Way
Crestwood, KY 40014-6773
Phone (502) 243-2227

73 Quartermaster CT
Jeffersonville, IN 47130-3623
Phone (812) 284-0777

9200 Leesgate Rd
Louisville, KY 40222-5173
Phone (502) 895-0040

Hospital & facility affiliations

  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012

Merit-based Incentive Payment System (MIPS)

Final score
86.51 of 100Reported as group
Quality
84.13
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery275
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8434TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of Louisville,P.S.C. CurrentSince Jul 1, 2015 Accepting new patients
Eye Centers of Louisville,PSC Optometrist CurrentSince Jul 1, 2015 Accepting new patients

Locations

73 Quartermaster Ct
Jeffersonvlle, IN 47130
Phone (812) 284-0077

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

6400 Westwind Way
Crestwood, KY 40014
Phone (502) 243-2227

1000 Johnstown Rd
Ste 102
Elizabethtown, KY 42701
Phone (270) 769-0099

6905B Burlington Pike
Florence, KY 41042
Phone (859) 282-9666

108 Bravo Blvd
Glasgow, KY 42141
Phone (270) 651-2181

9200 Leesgate Rd
Ste 100
Louisville, KY 40222
Phone (502) 895-0040

1935 Bluegrass Ave
Ste 200
Louisville, KY 40215
Phone (502) 364-0033

9200 Leesgate Rd
Louisville, KY 40222
Phone (502) 895-0040

4010 DuPont Cir
Ste 380
Louisville, KY 40207
Phone (502) 895-0040

Interoperability endpoints

  • Direct secure messaging: zagorianos@bennettbloomeyecenters.imwdirect.com
  • Direct secure messaging: nikolaos.zagorianos.p2@direct.johnkenyon.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1083092126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 BLUEGRASS AVE",
            "address_2": "SUITE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151179",
            "telephone_number": "502-364-0033",
            "fax_number": "502-361-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 BLUEGRASS AVE",
            "address_2": "SUITE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151179",
            "telephone_number": "502-364-0033",
            "fax_number": "502-361-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGORIANOS",
        "first_name": "NIKOLAOS",
        "middle_name": "CHRISTOS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-08",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8434T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003891A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1975DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100359770",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201308240",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.