Adria N Porter, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1619-DT Issued in KY

Practice address

215 E Main St
Providence, KY 42450-1261

Phone

(270) 667-7017

Fax

(270) 667-9065

NPI assigned

Sep 30, 2005

Last updated

Mar 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aporter@marioneyecarecenter.eyefinity-direct.com

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.

• Marion Eye Care Center PLLC

  • Optometrist
  • Marion, KY
  • NPI 1164530887
  Medicare reassignment NPD Authorized official
• Eyecare Center of Princeton PLLC

  • Optometrist
  • Princeton, KY
  • NPI 1790897924
  NPD (past)
• J Martin Lane Eyecare Center

  dba Eyecare Center

  • Optometrist
  • Princeton, KY
  • NPI 1386378339
  NPD (past)
• The Ophthalmology Group, LLC

  • Ophthalmology Physician
  • Paducah, KY
  • NPI 1598717027

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1265429641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "PROVIDENCE",
            "state": "KY",
            "postal_code": "424500037",
            "telephone_number": "270-667-7017",
            "fax_number": "270-667-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E MAIN ST",
            "city": "PROVIDENCE",
            "state": "KY",
            "postal_code": "424501261",
            "telephone_number": "270-667-7017",
            "fax_number": "270-667-9065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 S Main St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "KY",
            "postal_code": "420641807",
            "country_code": "US",
            "telephone_number": "270-965-5280",
            "fax_number": "270-965-9194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "ADRIA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1619-DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77001212",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brad Long, CSW
• Joseph Lowery, APRN
• Lori R Marrero, APRN
• Paige P. Warren DMD PSC
• Jami T Perry, MD
• Providence Ind. Schools
• Raymond T Quatro, MD
• Regional Health Care Affiliates, Inc.
• Pnemonie Shoshana Robinson, CRNA
• Jane Smith, RPH

• Optometrist in Providence, KY
• Providers in Providence, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.