Individual provider Active NPI

Emily Williams Konig, OD

  • Optometrist
  • Pikeville, KY
National Provider Identifier
1235708934
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2343DT Issued in KY
Practice address
810 Hambley Blvd
Pikeville, KY 41501-9114
Phone
(606) 218-5540
Fax
(606) 218-5541
NPI assigned
Jun 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003039 VA
Optometrist 152W00000X 2343DT KY Primary

Addresses

Primary practice location

810 Hambley Blvd
Pikeville, KY 41501-9114

Mailing address

810 Hambley Blvd
Pikeville, KY 41501-9114
Phone (606) 218-5540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230905003797 KY Practitioner - Optometry 7810393949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Kentucky College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of PikevilleGroup PAC ID 6709120942, 18 clinicians

Practice addresses (Care Compare)

147 Sycamore St
Pikeville, KY 41501-9118
Phone (606) 218-5528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2343DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pikeville Optometrist CurrentSince Jul 23, 2023 Accepting new patients

Locations

41 Triangle St
Martin, KY 41649
Phone (606) 218-5540

147 Sycamore St
#858
Pikeville, KY 41501

810 Hambley Blvd
Pikeville, KY 41501
Phone (606) 218-5354

147 Sycamore St
Pikeville, KY 41501
Phone (606) 218-5250

Organizations & group practices 1

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": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1235708934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 HAMBLEY BLVD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415019114",
            "telephone_number": "606-218-5540",
            "fax_number": "606-218-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HAMBLEY BLVD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415019114",
            "telephone_number": "606-218-5540",
            "fax_number": "606-218-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONIG",
        "first_name": "EMILY",
        "middle_name": "WILLIAMS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003039",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2343DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.