Individual provider Active NPI

Jeffrey Lynn Partain, O.D.

  • Optometrist
  • Shepherdsville, KY
National Provider Identifier
1316084403
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1040DT Issued in KY
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

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
77010403MedicaidKY

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
I20070719000469 KY Practitioner - Optometry 0042311169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.3 of 100Reported as group
Quality
98.56
Improvement activities
40
Cost
76.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1040DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Eye Care PSC Optometrist CurrentSince Jan 6, 2020 Accepting new patients
Kentucky Eye Care PSC Optometrist CurrentSince Jan 6, 2020 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

Verify at the official NPI Registry.