Jacob Vaughan Plumley, OD
Individual provider Active NPI Optometrist · Lexington, KY
NPI 1194561845 · NPPES record last updated Jul 2, 2024
Key facts
- NPI
- 1194561845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2403DT (KY)
- Practice address
- 3695 Nicholasville Rd Ste 150
Lexington, KY 40503-4493 - Phone
- (859) 273-4443
- NPI assigned
- Jul 2, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 23
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ky Doctors of Optometry, PLLC
Practice addresses (Care Compare)
3571 Springhurst Blvd
Louisville, KY 40241-4144
Phone (502) 339-7323
450 Connector Rd
Georgetown, KY 40324-9729
Phone (502) 868-9870
500 Winchester Ave
Suite 810
Ashland, KY 41101-7362
Phone (606) 324-3672
7945 Bardstown Rd
Louisville, KY 40291-3437
Phone (502) 231-4061
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
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 |
|---|---|---|---|---|
| I20241007000319 | KY | Practitioner - Optometry | 2668903386 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2403DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ky Doctors of Optometry, PLLC | Optometrist | Current |
Accepting new patients |
| Ky Doctors of Optometry, PLLC | Optometrist | Current |
Accepting new patients |
| Ky Doctors of Optometry, PLLC | Past | Accepting new patients | |
| Ky Doctors of Optometry, PLLC | Optometrist | Past | Accepting new patients |
| Ky Doctors of Optometry, PLLC | Optometrist | Past | Accepting new patients |
Locations
500 Winchester Ave
Ste 810
Ashland, KY 41101
Phone (606) 324-3672
7727 Mall Rd
Ste B
Florence, KY 41042
Phone (859) 282-1751
111 Jett Blvd
Ste 100
Frankfort, KY 40601
Phone (502) 695-6310
450 Connector Rd
Georgetown, KY 40324
Phone (502) 316-6490
3695 Nicholasville Rd
Ste 150
Lexington, KY 40503
Phone (859) 273-4443
2312 Sir Barton Way
Ste 170
Lexington, KY 40509
Phone (859) 543-8383
4655 Outer Loop
Louisville, KY 40219
Phone (502) 966-2020
7945 Bardstown Rd
Louisville, KY 40291
Phone (502) 231-4061
13210 Shelbyville Rd
Ste 101
Louisville, KY 40223
Phone (502) 244-9198
3571 Springhurst Blvd
Louisville, KY 40241
Phone (502) 339-7323
5224 Dixie Hwy
Louisville, KY 40216
Phone (502) 449-2080
1001 Breckenridge Ln
Louisville, KY 40207
Phone (502) 893-2015
2115 Lantern Ridge Dr
Ste U500
Richmond, KY 40475
Phone (859) 625-1004
5047 Shelbyville Rd
St Matthews, KY 40207
Phone (502) 293-5340
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2403DT | KY | Yes |
Addresses
Primary practice location
3695 Nicholasville Rd Ste 150
Lexington, KY 40503-4493
Mailing address
1864 Ky Route 302
Van Lear, KY 41265-9059
Phone (606) 385-0007
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2024. 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.