NPIMap

Organization Active NPI

Ky Doctors of Optometry, PLLC

Doing business as KY Doctors of Optometry

  • Eyewear Supplier
  • Louisville, KY
National Provider Identifier
1275617276
Registry record updated Oct 5, 2026
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
4655 Outer Loop
Louisville, KY 40219-3970
Phone
(502) 966-2020
Fax
(502) 966-2099
NPI assigned
Oct 25, 2006
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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
(270) 750-8384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

4655 Outer Loop
Louisville, KY 40219-3970

Mailing address

PO Box 846027
Dallas, TX 75284-6027
Phone (726) 444-4069

Other identifiers 1

IdentifierTypeStateIssuer
7790293000MedicaidKY

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 KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031231000020 KY Part B Supplier - Clinic/Group Practice 0941108732 Receives reassigned benefits from 71 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bowling Green, KY; St Matthews, KY; Somerset, KY; Richmond, KY; Paducah, KY; Owensboro, KY; Louisville, KY; Elizabethtown, KY…
O20100930053355 KY DME Supplier - Physician - OptometristDME Supplier - Optician 0941108732 Practice locations: Louisville, 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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
Visionworks Doctors Fo Optometry4655 Outer Loop, Louisville, KY 40219-3970(502) 966-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract 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

7727 Mall Rd
Ste B
Florence, KY 41042
Phone (859) 282-1751

5047 Shelbyville Rd
St Matthews, KY 40207
Phone (502) 293-5340

Practitioners & affiliated clinicians

Practitioners 56

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 56

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1275617276",
    "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": "726-444-4069",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 OUTER LOOP",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402193970",
            "telephone_number": "502-966-2020",
            "fax_number": "502-966-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KY DOCTORS OF OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "RUBESH",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-750-8384",
        "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": "7790293000",
            "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 Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.