Elizabeth Ann Richardson, OD

Individual provider Active NPI Optometrist · Owensboro, KY

NPI 1285310029 · NPPES record last updated Jun 26, 2023

Key facts

NPI
1285310029
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
2328DT (KY)
Practice address
2905 New Hartford Rd
Owensboro, KY 42303-1323
Phone
(270) 685-4966
Fax
(270) 686-8058
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Optometry
Education
Southern College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Kentucky Professional, PLLC (13 clinicians)

Practice addresses (Care Compare)

2905 New Hartford Rd
Owensboro, KY 42303-1323
Phone (270) 685-4966

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230816003333 KY Practitioner - Optometry 3870955230 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Riverpark Eyecare PLLC Optometrist Current
since Jul 3, 2023
Accepting new patients
Aeg Kentucky Professional, PLLC Optometrist Current
since Apr 20, 2024
Accepting new patients

Locations

300 9th St
Henderson, KY 42420
Phone (270) 827-8681

2905 New Hartford Rd
Owensboro, KY 42303
Phone (270) 685-4966

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2328DT KY Yes

Addresses

Primary practice location

2905 New Hartford Rd
Owensboro, KY 42303-1323

Mailing address

2905 New Hartford Rd
Owensboro, KY 42303-1323
Phone (270) 685-4966

Other providers in Owensboro, KY

All providers in Owensboro, KY · Optometrist in Kentucky

Sources for this page

Verify at the official NPI Registry.