Individual provider Active NPI

Paul Austin Eckel, OD

  • Optometrist
  • Louisville, KY
National Provider Identifier
1336758127
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2194DT Issued in KY
Practice address
1935 Bluegrass Ave Ste 200
Louisville, KY 40215-1181
Phone
(502) 364-0033
Fax
(502) 361-4488
NPI assigned
Jul 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 2194DT KY Primary

Addresses

Primary practice location

1935 Bluegrass Ave Ste 200
Louisville, KY 40215-1181

Mailing address

1935 Bluegrass Ave Ste 200
Louisville, KY 40215-1181
Phone (502) 364-0033

Other practice location 1

1000 Johnstown Rd Ste 102
Elizabethtown, KY 42701-3925
Phone (270) 769-0099

Other practice location 2

9200 Leesgate Rd Ste 100
Louisville, KY 40222-5173
Phone (502) 895-0040

Other practice location 3

4010 DuPont Cir Ste 380
Louisville, KY 40207-4881
Phone (502) 895-0040

Other identifiers 2

IdentifierTypeStateIssuer
300052173MedicaidIN
7100749110MedicaidKY

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
I20210706002419 KY Practitioner - Optometry 0941602510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of Louisville,PSCGroup PAC ID 4789584921, 31 clinicians

Practice addresses (Care Compare)

1935 Bluegrass Ave
Suite 200
Louisville, KY 40215-1181
Phone (502) 895-0040

Merit-based Incentive Payment System (MIPS)

Final score
86.51 of 100Reported as group
Quality
84.13
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery240
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of Louisville,P.S.C. CurrentSince Aug 1, 2021 Accepting new patients
Eye Centers of Louisville,PSC Optometrist CurrentSince Aug 1, 2021 Accepting new patients

Locations

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

6400 Westwind Way
Crestwood, KY 40014
Phone (502) 243-2227

1000 Johnstown Rd
Ste 102
Elizabethtown, KY 42701
Phone (270) 769-0099

6905B Burlington Pike
Florence, KY 41042
Phone (859) 282-9666

108 Bravo Blvd
Glasgow, KY 42141
Phone (270) 651-2181

1935 Bluegrass Ave
Ste 200
Louisville, KY 40215
Phone (502) 364-0033

4010 DuPont Cir
Ste 380
Louisville, KY 40207
Phone (502) 895-0040

9200 Leesgate Rd
Louisville, KY 40222
Phone (502) 895-0040

9200 Leesgate Rd
Ste 100
Louisville, KY 40222
Phone (502) 895-0040

Interoperability endpoints

  • Direct secure messaging: aeckel@bennettbloomeyecenters.imwdirect.com
  • Direct secure messaging: paustin.eckel.p2@direct.johnkenyon.nextgenshare.com

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": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1336758127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 BLUEGRASS AVE STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151181",
            "telephone_number": "502-364-0033",
            "fax_number": "502-361-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 BLUEGRASS AVE STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151181",
            "telephone_number": "502-364-0033",
            "fax_number": "502-361-4488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Johnstown Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427013925",
            "country_code": "US",
            "telephone_number": "270-769-0099",
            "fax_number": "270-763-0315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9200 Leesgate Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402225173",
            "country_code": "US",
            "telephone_number": "502-895-0040",
            "fax_number": "502-365-4050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4010 DuPont Cir Ste 380",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074881",
            "country_code": "US",
            "telephone_number": "502-895-0040",
            "fax_number": "502-214-3429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECKEL",
        "first_name": "PAUL",
        "middle_name": "AUSTIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-28",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2194DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300052173",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100749110",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.