NPIMap

Organization Active NPI

Ky Doctors of Optometry, PLLC

Doing business as KY Doctors of Optometry

  • Eyewear Supplier
  • Lexington, KY
National Provider Identifier
1255415410
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
KY DOCTORS OF OPTOMETRY, PLLC
Doing business as
KY Doctors of Optometry
Visionworks Doctors of Optometry
Practice address
2312 Sir Barton Way
Suite 170
Lexington, KY 40509-2270
Phone
(859) 543-8383
Fax
(859) 264-9734
NPI assigned
Oct 24, 2006
Last updated
Aug 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Grant Rubesh, O.D.NPI 1619069796
Title
Owner
Phone
(726) 444-4078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

2312 Sir Barton Way
Suite 170
Lexington, KY 40509-2270

Mailing address

PO Box 846027
Dallas, TX 75284-6027
Phone (210) 524-6663

Other identifiers 1

IdentifierTypeStateIssuer
7790349000MedicaidKY

Other names 2

  • KY Doctors of Optometry Doing business as
  • Visionworks Doctors of Optometry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930047767 KY DME Supplier - Optician 0941108732 Practice locations: Lexington, KY

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 22

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ky Doctors of Optometry, PLLC2312 Sir Barton Way, Lexington, KY 40509-2266(859) 543-8383 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Oct 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Darren Patrick MD22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

1609 N Dixie Ave
Ste 100
Elizabethtown, KY 42701
Phone (270) 765-7372

111 Jett Blvd
Frankfort, KY 40601

2312 Sir Barton Way
Lexington, KY 40509

2434 Nicholasville Rd
Lexington, KY 40503
Phone (606) 278-2030

2464 Nicholasville Rd
Lexington, KY 40503

3675 Nicholasville Rd
Lexington, KY 40503

3695 Nicholasville Rd
Lexington, KY 40503
Phone (606) 278-2030

13210 Shelbyville Rd
Louisville, KY 40223

5300 Dixie Hwy
Louisville, KY 40216
Phone (502) 449-2080

2115 Lantern Ridge Dr
Richmond, KY 40475

2115 Lantern Ridge Dr
Ste 150
Richmond, KY 40475

5252 Hickory Hollow Pkwy
Antioch, TN 37013
Phone (615) 717-3060

254 Indian Lake Blvd
Ste 200
Hendersonville, TN 37075

10936 Parkside Dr
Knoxville, TN 37934

115 Mall Circle Dr
Murfreesboro, TN 37129
Phone (615) 895-7090

6800 Charlotte Pike
Ste 110
Nashville, TN 37209
Phone (615) 354-5807

Practitioners & affiliated clinicians

Practitioners 37

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 37

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1255415410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846027",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846027",
            "telephone_number": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 SIR BARTON WAY",
            "address_2": "SUITE 170",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092270",
            "telephone_number": "859-543-8383",
            "fax_number": "859-264-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KY DOCTORS OF OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBESH",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "726-444-4078",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7790349000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KY Doctors of Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visionworks Doctors of Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.