Allison J Kerr, O.D.
Individual provider Active NPI Optometrist · Bowling Green, KY
NPI 1104114396 · NPPES record last updated Dec 26, 2013
Key facts
- NPI
- 1104114396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1869DT (KY)
- Practice address
- 1256 Campbell LN
#106
Bowling Green, KY 42104-1082 - Phone
- (270) 796-6021
- NPI assigned
- Jul 21, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2988 Burkesville Rd
Suite 160
Columbia, KY 42728-5540
Phone (270) 384-4444
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 59 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120620000344 | KY | Practitioner - Optometry | 0446414635 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kerr Eye Care PLLC | Optometrist | Current |
Accepting new patients |
| Edmonton Family Vision Center PSC | Optometrist | Past |
Accepting new patients |
| Love and Warden Eye Care, PLLC | Optometrist | Past |
Accepting new patients |
Locations
2988 Burkesville Rd
Ste 160
Columbia, KY 42728
Phone (270) 384-4444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1869DT | KY | Yes |
Addresses
Primary practice location
1256 Campbell LN
#106
Bowling Green, KY 42104-1082
Mailing address
PO Box 966
Burkesville, KY 42717-0966
Phone (954) 881-1402
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100190120 | Medicaid | KY |
Other providers in Bowling Green, KY
- Kentucky Physicians Eyecare Group, P.S.C.
- Kentucky Skin Cancer Center PLLC
- Kentucky Telehealth Therapy LLC
- Kentucky Trauma Therapists, LLC
- William Boyd Kernodle
- Amber Kerr
- Kevin J Kerr
- Rebecca Kerr
- Sam Reddy Kesri
- Alexis Key
All providers in Bowling Green, KY · Optometrist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.