Individual provider Active NPI

Addy Elizabeth Adkisson, OD

  • Optometrist
  • Louisville, KY
National Provider Identifier
1255181582
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2385DT Issued in KY
Practice address
9200 Leesgate Rd Ste 100
Louisville, KY 40222-5173
Phone
(502) 895-0040
Fax
(502) 895-0040
NPI assigned
Mar 27, 2024
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2385DT KY Primary

Addresses

Primary practice location

9200 Leesgate Rd Ste 100
Louisville, KY 40222-5173

Mailing address

PO Box 736502
Chicago, IL 60673-1408
Phone (502) 364-0033

Other practice location 1

1935 Bluegrass Ave Ste 200
Louisville, KY 40215-1181
Phone (502) 364-0033

Other practice location 2

6905B Burlington Pike
Florence, KY 41042-1618
Phone (859) 282-9999

Other practice location 3

6400 Westwind Way
Crestwood, KY 40014-6773
Phone (502) 243-2227

Other practice location 4

1000 Johnstown Rd Ste 102
Elizabethtown, KY 42701-3925
Phone (270) 769-0099

Other practice location 5

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

Other practice location 6

4010 DuPont Cir Ste 380
Louisville, KY 40207-4881
Phone (502) 895-0040

Other practice location 7

2200 E Parrish Ave Ste 201
Owensboro, KY 42303-1449
Phone (502) 895-0040

Other practice location 8

2935 Dolphin Dr
Elizabethtown, KY 42701-4111
Phone (270) 769-0099

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
I20240829003287 IN Practitioner - Optometry 3173062403 Reassigns benefits to 1 organization
I20240909002965 KY Practitioner - Optometry 3173062403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of Louisville,PSCGroup PAC ID 4789584921, 31 clinicians

Practice addresses (Care Compare)

1935 Bluegrass Ave
Suite 200
Louisville, KY 40215-1181
Phone (502) 895-0040

73 Quartermaster CT
Jeffersonville, IN 47130-3623
Phone (812) 284-0777

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2385DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of Louisville,P.S.C. CurrentSince Jul 1, 2024 Accepting new patients
Eye Centers of Louisville,PSC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
John Kenyon American Eye Institute LLC Optometrist Past Accepting new patients
Retina and Vitreous Associates of Kentucky PLLC Optometrist Past Accepting new patients

Locations

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

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

6400 Westwind Way
Crestwood, KY 40014
Phone (502) 243-2227

1000 Johnstown Rd
Ste 102
Elizabethtown, KY 42701
Phone (270) 769-0099

2935 Dolphin Dr
Ste 302A
Elizabethtown, KY 42701
Phone (270) 769-0099

6905B Burlington Pike
Florence, KY 41042
Phone (800) 477-0055

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

4010 DuPont Cir
Ste 380
Louisville, KY 40207
Phone (502) 895-0040

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

9200 Leesgate Rd
Ste 100
Louisville, KY 40222
Phone (502) 895-0040

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

2200 E Parrish Ave
Ste 201
Owensboro, KY 42303
Phone (270) 926-3700

15933 Clayton Rd
Ste 210
Ballwin, MO 63011

Interoperability endpoints

  • Direct secure messaging: addy.adkisson.p2@direct.johnkenyon.nextgenshare.com
  • Direct secure messaging: addy.adkisson@bennettbloomeyecenters.imwdirect.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, 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": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1255181582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736502",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731408",
            "telephone_number": "502-364-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 LEESGATE RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225173",
            "telephone_number": "502-895-0040",
            "fax_number": "502-895-0040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1935 Bluegrass Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402151181",
            "country_code": "US",
            "telephone_number": "502-364-0033",
            "fax_number": "502-365-4050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6905B Burlington Pike",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410421618",
            "country_code": "US",
            "telephone_number": "859-282-9999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6400 Westwind Way",
            "address_purpose": "LOCATION",
            "city": "Crestwood",
            "state": "KY",
            "postal_code": "400146773",
            "country_code": "US",
            "telephone_number": "502-243-2227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Johnstown Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427013925",
            "country_code": "US",
            "telephone_number": "270-769-0099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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": "4010 DuPont Cir Ste 380",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074881",
            "country_code": "US",
            "telephone_number": "502-895-0040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 E Parrish Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423031449",
            "country_code": "US",
            "telephone_number": "502-895-0040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2935 Dolphin Dr",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427014111",
            "country_code": "US",
            "telephone_number": "270-769-0099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADKISSON",
        "first_name": "ADDY",
        "middle_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2385DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.