Individual provider Active NPI

Edward Tyler Joseph I, OD

  • Optometrist
  • Ashland, KY
National Provider Identifier
1285205997
Registry record updated Jul 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2228DT Issued in KY
Practice address
351 River Hill Dr
Ashland, KY 41101-7397
Phone
(606) 326-9321
NPI assigned
Jul 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2228DT KY Primary

Addresses

Primary practice location

351 River Hill Dr
Ashland, KY 41101-7397

Mailing address

351 River Hill Dr
Ashland, KY 41101-7397
Phone (606) 326-9321

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
I20220209002739 KY Practitioner - Optometry 0446643761 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frontier Medical Associates of Prestonsburg IncGroup PAC ID 8123436219, 17 clinicians
Ky Doctors of Optometry, PLLCGroup PAC ID 0941108732, 64 clinicians

Practice addresses (Care Compare)

400 University Dr
Suite 211a
Prestonsburg, KY 41653-1080
Phone (606) 886-6622

500 Winchester Ave
Suite 810
Ashland, KY 41101-7362
Phone (606) 324-3672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2228DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ky Doctors of Optometry, PLLC Optometrist CurrentSince Feb 14, 2026 Accepting new patients
Frontier Vision LLC Optometrist CurrentSince Jan 24, 2023 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist CurrentSince Feb 14, 2026 Accepting new patients
Frontier Medical Associates of Prestonsburg Inc CurrentSince Mar 1, 2022 Accepting new patients

Locations

451 River Hill Dr
Ashland, KY 41101
Phone (606) 329-2020

500 Winchester Ave
Ste 810
Ashland, KY 41101
Phone (606) 324-3672

400 University Dr
Ste 211A
Prestonsburg, KY 41653
Phone (606) 886-6622

400 University Dr
Ste 100
Prestonsburg, KY 41653
Phone (606) 886-1202

Organizations & group practices 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1625270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625270400000",
    "number": "1285205997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 RIVER HILL DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017397",
            "telephone_number": "606-326-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 RIVER HILL DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017397",
            "telephone_number": "606-326-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "EDWARD",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-03",
        "last_updated": "2021-07-03",
        "certification_date": "2021-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2228DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.