Individual provider Active NPI

Casey O'Shea, MD

  • Ophthalmology Physician
  • Louisville, KY
National Provider Identifier
1275064917
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
88476 Issued in GA
Practice address
301 E Muhammad Ali Blvd
Louisville, KY 40202-1511
Phone
(502) 588-0550
NPI assigned
Mar 24, 2017
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 88476 GA Primary

Addresses

Primary practice location

301 E Muhammad Ali Blvd
Louisville, KY 40202-1511

Mailing address

1910 Bonnycastle Ave
Louisville, KY 40205-1019
Phone (313) 817-7011

Other practice location 1

301 E Muhammad Ali Blvd
Louisville, KY 40202-1511
Phone (502) 588-0550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210930000004 GA Practitioner - Ophthalmology 3476807140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Carlin MD PCGroup PAC ID 4183693641, 10 clinicians

Practice addresses (Care Compare)

2377 Lenora Church Rd
Snellville, GA 30078-3232
Phone (770) 979-2020

Merit-based Incentive Payment System (MIPS)

Final score
92.82 of 100Reported as individual
Quality
99.01
Improvement activities
40
Cost
77.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Carlin MD PC CurrentSince Sep 1, 2021 Accepting new patients

Locations

2377 Lenora Church Rd
Snellville, GA 30078
Phone (770) 979-2020

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": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1275064917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 BONNYCASTLE AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051019",
            "telephone_number": "313-817-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MUHAMMAD ALI BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021511",
            "telephone_number": "502-588-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Muhammad Ali Blvd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021511",
            "country_code": "US",
            "telephone_number": "502-588-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'SHEA",
        "first_name": "CASEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "88476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.