NPIMap

Individual provider Active NPI

Caroline L Hendy, O.D.

  • Optometrist
  • London, KY
National Provider Identifier
1114978723
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1363DT Issued in KY
Practice address
1370 W 5TH St
Suite 2
London, KY 40741-1615
Phone
(606) 877-1101
Fax
(606) 878-6356
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1363DT KY Primary

Addresses

Primary practice location

1370 W 5TH St
Suite 2
London, KY 40741-1615

Mailing address

1370 W 5TH St
Suite 2
London, KY 40741-1615
Phone (606) 877-1101

Other identifiers 7

IdentifierTypeStateIssuer
000000202838OtherKYBCBS
5919OtherKYP10
611344538OtherKYTAX ID #
77013639MedicaidKY
77903276MedicaidKY
1267150001OtherKYPALMETTO
000000064776OtherKYBCBS GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1363DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Specialists, PLLC Optometrist Past Accepting new patients
Dr. J PSC Optometrist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1114978723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 W 5TH ST",
            "address_2": "SUITE 2",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411615",
            "telephone_number": "606-877-1101",
            "fax_number": "606-878-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 W 5TH ST",
            "address_2": "SUITE 2",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411615",
            "telephone_number": "606-877-1101",
            "fax_number": "606-878-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDY",
        "first_name": "CAROLINE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1363DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000202838",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P10",
            "identifier": "5919",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "611344538",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77013639",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77903276",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "1267150001",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "000000064776",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.