Ky Doctors of Optometry, PLLC
Organization Active NPI Eyewear Supplier · Lexington, KY
NPI 1255415410 · NPPES record last updated Aug 22, 2024
Key facts
- NPI
- 1255415410
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- KY DOCTORS OF OPTOMETRY, PLLC
- 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
- Organization subpart
- No
Authorized official
- Name
- Grant Rubesh, O.D.
- Title
- Owner
- Phone
- (726) 444-4078
Other NPIs with the same Medicare PAC ID 22
Corporate family (same tax ID) 21
Practitioners 82
-
James Fred Buckner Jr., DOCTOR OF OPTOMETRY
-
Kevin Burt, OD
-
Michael Andrew Case, O.D.
-
Jason E Crockett, O.D
-
Matthew L Dugger, O.D.
-
Susan Marie Grady, O.D.
-
Tiffany Ann Harder, O.D.
-
Douglas Johnson, OD
-
Marcus Love, OD
-
Michael J Morris, OD
-
Crystal Stone Oliver, O.D.
-
Kevin Snead, OD
-
Dale Souleyrette, OD
-
Carl W. Sydnor, O.D.
-
Bilal Ahmad, O.D.
-
Aida I Badillo, OD
-
Fiona S Boak, O.D.
-
Hai An Bui, OD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Ky Doctors of Optometry, PLLC |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930047767 | KY | DME Supplier - Optician | 0941108732 | Practice locations: Lexington, KY |
National Provider Directory
- Tax ID family
- Dr Mark Lynn and Associat
Locations
111 Jett Blvd
Frankfort, KY 40601
2464 Nicholasville Rd
Lexington, KY 40503
2312 Sir Barton Way
Lexington, KY 40509
3675 Nicholasville Rd
Lexington, KY 40503
13210 Shelbyville Rd
Louisville, KY 40223
5300 Dixie Hwy
Louisville, KY 40216
Phone (502) 449-2080
13210 Shelbyville Rd
Ste 101
Louisville, KY 40223
Phone (502) 244-9198
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7790349000 | Medicaid | KY |
Other names
- KY Doctors of Optometry
- Visionworks Doctors of Optometry
Other providers in Lexington, KY
- KVC Behavioral Healthcare Kentucky Inc
- KVC Behaviroral Health
- KVC Behavorial Healthcare
- Cheryl Kwok
- Ky Dental Professional, PSC
- Ky Doctors of Optometry, PLLC
- Phyo P Kyaw
- Kyle Barnes, O.D., PLLC
- Stephanos Kyrkanides
- L. Vaughn Boggess, DMD, PSC
All providers in Lexington, KY · Eyewear Supplier in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.