Active NPI
Jeffrey Lynn Partain, O.D.
- Optometrist
- Shepherdsville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1040DT
- Practice address
- 189 Adam Shepherd Pkwy Ste 20
Shepherdsville, KY 40165-6579 - Phone
- (502) 896-8700
- Fax
- (502) 896-0813
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 1040DT | KY | Primary |
Addresses
Primary practice location
189 Adam Shepherd Pkwy Ste 20
Shepherdsville, KY 40165-6579
Mailing address
6400 Dutchmans Pkwy Ste 125
Louisville, KY 40205-3342
Phone (502) 896-8700
Other practice location 1
6400 Dutchmans Pkwy Ste 125
Louisville, KY 40205-3342
Phone (502) 896-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77010403 | 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.3 of 100
- Quality
- 98.56
- Improvement activities
- 40
- Cost
- 76.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1040DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Eye Care PSC | Optometrist | Current | Accepting new patients |
| Kentucky Eye Care PSC | Optometrist | Current | Accepting new patients |
Locations
5202 Preston Hwy
Louisville, KY 40213
Phone (502) 966-2148
1169 Eastern Pkwy
Ste 1211
Louisville, KY 40217
Phone (502) 451-7740
6400 Dutchmans Pkwy
Ste 125
Louisville, KY 40205
13 Village Plz
Shelbyville, KY 40065
Phone (800) 525-0414
189 Adam Shepherd Pkwy
Ste 20
Shepherdsville, KY 40165
Phone (502) 215-7094
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1316084403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 DUTCHMANS PKWY STE 125",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053342",
"telephone_number": "502-896-8700",
"fax_number": "502-896-0813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 ADAM SHEPHERD PKWY STE 20",
"city": "SHEPHERDSVILLE",
"state": "KY",
"postal_code": "401656579",
"telephone_number": "502-896-8700",
"fax_number": "502-896-0813"
}
],
"practiceLocations": [
{
"address_1": "6400 Dutchmans Pkwy Ste 125",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402053342",
"country_code": "US",
"telephone_number": "502-896-8700",
"fax_number": "502-896-0813",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARTAIN",
"first_name": "JEFFREY",
"middle_name": "LYNN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1040DT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77010403",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shepherdsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.