Individual provider Active NPI

Kaylea J. Percal, OD

  • Optometrist
  • New Albany, IN
National Provider Identifier
1174975643
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003971A Issued in IN
Practice address
519 State St
New Albany, IN 47150-3620
Phone
(812) 948-0616
Fax
(812) 949-3447
NPI assigned
Jul 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2039DT KY
Optometrist 152W00000X 18003971A IN Primary

Addresses

Primary practice location

519 State St
New Albany, IN 47150-3620

Mailing address

519 State St
New Albany, IN 47150-3620
Phone (812) 948-0616

Other practice location 1

73 Quartermaster Ct
Jeffersonville, IN 47130-3623
Phone (812) 284-0077

Other practice location 2

9200 Leesgate Rd
Louisville, KY 40222-5173
Phone (502) 895-2910

Other identifiers 2

IdentifierTypeStateIssuer
300004360MedicaidIN
7100488270MedicaidKY

Other names 1

  • Kaylea J. Lipps Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kaylea.lipps.p1@direct.johnkenyon.nextgenshare.com

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
I20160817001991 IN Practitioner - Optometry 9032404900 Reassigns benefits to 2 organizations
I20160927002433 KY Practitioner - Optometry 9032404900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of Louisville,PSCGroup PAC ID 4789584921, 31 clinicians
John Kenyon American Eye Institute, LLCGroup PAC ID 5496640351, 8 clinicians

Practice addresses (Care Compare)

519 State St
New Albany, IN 47150-3620
Phone (812) 948-0616

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

Merit-based Incentive Payment System (MIPS)

Final score
93.42 of 100Reported as group
Quality
98.6
Improvement activities
40
Cost
79.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003971AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
John Kenyon American Eye Institute LLC CurrentSince Jul 23, 2017 Accepting new patients
Eye Centers of Louisville,P.S.C. CurrentSince Dec 16, 2025 Accepting new patients
Eye Centers of Louisville,PSC Optometrist CurrentSince Dec 16, 2025 Accepting new patients
John Kenyon American Eye Institute LLC Optometrist CurrentSince Jul 23, 2017 Accepting new patients

Locations

1305 Wall St
Ste 200
Jeffersonvlle, IN 47130
Phone (812) 288-9011

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

519 State St
New Albany, IN 47150
Phone (812) 258-3006

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

103 Diecks Dr
Elizabethtown, KY 42701
Phone (270) 769-1397

2525 Elizabethtown Rd
Leitchfield, KY 42754
Phone (270) 259-2020

9200 Leesgate Rd
Ste 201
Louisville, KY 40222
Phone (502) 895-2910

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

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

2200 E Parrish Ave
Ste 101
Owensboro, KY 42303
Phone (270) 683-3232

Interoperability endpoints

  • Direct secure messaging: kpercal@bennettbloomeyecenters.imwdirect.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kaylea.lipps.p1@direct.johnkenyon.nextgenshare.com

Organizations & group practices 4

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": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1174975643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 STATE ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471503620",
            "telephone_number": "812-948-0616",
            "fax_number": "812-949-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 STATE ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471503620",
            "telephone_number": "812-948-0616",
            "fax_number": "812-949-3447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Quartermaster Ct",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471303623",
            "country_code": "US",
            "telephone_number": "812-284-0077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9200 Leesgate Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402225173",
            "country_code": "US",
            "telephone_number": "502-895-2910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERCAL",
        "first_name": "KAYLEA",
        "middle_name": "J.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2039DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003971A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300004360",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100488270",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaylea.lipps.p1@direct.johnkenyon.nextgenshare.com",
            "affiliation": "N",
            "address_1": "519 State St",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471503620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAYLEA",
            "last_name": "LIPPS",
            "middle_name": "J.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.