Individual provider Active NPI

Joseph W Terry, O.D.

  • Optometrist
  • Owensboro, KY
National Provider Identifier
1275699027
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1395DT Issued in KY
Practice address
5040 Frederica St Ste a
Owensboro, KY 42301-7425
Phone
(270) 685-0247
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1395DT KY Primary

Addresses

Primary practice location

5040 Frederica St Ste a
Owensboro, KY 42301-7425

Mailing address

5040 Frederica St Ste a
Owensboro, KY 42301-7425
Phone (270) 685-0247

Other identifiers 1

IdentifierTypeStateIssuer
77013951MedicaidKY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050418000378 KY Practitioner - Optometry 4183662588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Joe Terry and Associates, IncGroup PAC ID 5395821797, 3 clinicians

Practice addresses (Care Compare)

2813 Turfway Dr
Owensboro, KY 42303-4562

5040 Frederica St
Suite a
Owensboro, KY 42301-7425
Phone (270) 685-0247

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1395DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Joe Terry and Associates, Inc Optometrist CurrentSince Mar 1, 2008 Accepting new patients

Locations

3151 State Route 54
Owensboro, KY 42303
Phone (270) 683-4099

5040 Frederica St
#A
Owensboro, KY 42301
Phone (270) 685-0247

5031 Frederica St
Saint Joseph, KY 42301
Phone (270) 685-0027

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1275699027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 FREDERICA ST STE A",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423017425",
            "telephone_number": "270-685-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 FREDERICA ST STE A",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423017425",
            "telephone_number": "270-685-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "JOSEPH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1395DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77013951",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.