NPIMap

Organization Active NPI

Barrett Simpson, O.D. LLC

  • Optometrist
  • Bowling Green, KY
National Provider Identifier
1225252943
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1554DT Issued in KY
Legal business name
BARRETT SIMPSON, O.D. LLC
Practice address
3200 Ken Bale Blvd
Bowling Green, KY 42103-6025
Phone
(270) 793-0958
Fax
(270) 781-7933
NPI assigned
Apr 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles Barrett Simpson, O.D.
Title
President
Phone
(270) 793-0958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1554DT KY Primary

Addresses

Primary practice location

3200 Ken Bale Blvd
Bowling Green, KY 42103-6025

Mailing address

5816 Highway 259 North
Sweeden, KY 42285
Phone (270) 286-0276

Other identifiers 1

IdentifierTypeStateIssuer
77000826MedicaidKY

National Provider Directory

National Provider Directory

Locations

3200 Ken Bale Blvd
Bowling Green, KY 42103
Phone (270) 745-0038

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225252943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5816 HIGHWAY 259 NORTH",
            "city": "SWEEDEN",
            "state": "KY",
            "postal_code": "42285",
            "telephone_number": "270-286-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 KEN BALE BLVD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421036025",
            "telephone_number": "270-793-0958",
            "fax_number": "270-781-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRETT SIMPSON, O.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BARRETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-793-0958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1554DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77000826",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.