Active NPI
Joseph W Terry, O.D.
- Optometrist
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1395DT
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77013951 | Medicaid | KY |
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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1395DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Joe Terry and Associates, Inc | Optometrist | Current | 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.
-
- Optometrist
- Owensboro, KY
- NPI 1073798054
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.