Individual provider Active NPI

Brian J Huseman, OD

  • Optometrist
  • Louisville, KY
National Provider Identifier
1215957212
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1641DT Issued in KY
Practice address
215 Central Ave
Ste 101
Louisville, KY 40208-1418
Phone
(502) 636-5766
Fax
(502) 736-4490
NPI assigned
Jul 20, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1641DT KY Primary
Optometrist 152W00000X 18003342 IN

Addresses

Primary practice location

215 Central Ave
Ste 101
Louisville, KY 40208-1418

Mailing address

215 Central Ave
Ste 101
Louisville, KY 40208-1418
Phone (502) 636-5766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
I20060207000490 KY Practitioner - Optometry 7113932567 Reassigns benefits to 1 organization
I20060214000088 IN Practitioner - Optometry 7113932567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey L Morer OD PCGroup PAC ID 7719870807, 50 clinicians

Practice addresses (Care Compare)

201 N Illinois St
16TH Floor S Tower
Indianapolis, IN 46204-1904
Phone (888) 964-6681

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003342INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Midwest Inc Optometrist Current Accepting new patients
Clarkson Optometry Midwest Inc Optometrist CurrentSince Feb 27, 2019 Accepting new patients

Locations

43 Industrial Pkwy
Calvert City, KY 42029
Phone (270) 395-8331

3978 Alexandria Pike
Cold Spring, KY 41076
Phone (859) 441-8500

6828 Bardstown Rd
Louisville, KY 40291
Phone (502) 231-2020

Interoperability endpoints

  • Direct secure messaging: brianhuseman@direct.eyecare-partners.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215957212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 CENTRAL AVE",
            "address_2": "STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081418",
            "telephone_number": "502-636-5766",
            "fax_number": "502-736-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CENTRAL AVE",
            "address_2": "STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081418",
            "telephone_number": "502-636-5766",
            "fax_number": "502-736-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSEMAN",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1641DT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003342",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.