Individual provider Active NPI

Lisa Sloan Woody, O.D.

  • Optometrist
  • Bardstown, KY
National Provider Identifier
1083745095
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1249DT Issued in KY
Practice address
311 N 3Rd St
Bardstown, KY 40004-1507
Phone
(502) 348-8584
Fax
(502) 348-4695
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1249DT KY Primary

Addresses

Primary practice location

311 N 3Rd St
Bardstown, KY 40004-1507

Mailing address

311 N 3Rd St
Bardstown, KY 40004-1507
Phone (502) 348-8584

Other identifiers 7

IdentifierTypeStateIssuer
4638260OtherKYAETNA PROVIDER NUMBER
000000337829OtherKYANTHEM PROVIDER NUMBER
77012490MedicaidKY
000000337829OtherKYUNICARE PROVIDER NUMBER
11312OtherKYUNITED HEALTH CARE
410024016OtherKYRAILROAD MEDICARE
911295OtherKYPASSPORT PROVIDER NUMBER

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
I20100804001063 KY Practitioner - Optometry 4385776319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

311 N 3Rd St
Bardstown, KY 40004-1507
Phone (502) 348-8584

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Sloan Woody OD PSC Bardstown Eye Care Optometrist CurrentSince May 30, 1997 Accepting new patients

Locations

311 N 3rd St
Bardstown, KY 40004
Phone (502) 348-8584

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1083745095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N 3RD ST",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041507",
            "telephone_number": "502-348-8584",
            "fax_number": "502-348-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N 3RD ST",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041507",
            "telephone_number": "502-348-8584",
            "fax_number": "502-348-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODY",
        "first_name": "LISA",
        "middle_name": "SLOAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1249DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "4638260",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000337829",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77012490",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE PROVIDER NUMBER",
            "identifier": "000000337829",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "11312",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410024016",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT PROVIDER NUMBER",
            "identifier": "911295",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.