Individual provider Active NPI

Aaron C McNulty, O.D.

  • Optometrist
  • Louisville, KY
National Provider Identifier
1346528049
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1903DT Issued in KY
Practice address
2420 Lime Kiln LN
Louisville, KY 40222-3425
Phone
(502) 426-5000
Fax
(502) 426-2377
NPI assigned
Jul 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1903DT KY Primary

Addresses

Primary practice location

2420 Lime Kiln LN
Louisville, KY 40222-3425

Mailing address

2420 Lime Kiln LN
Louisville, KY 40222-3425
Phone (270) 929-5517

Other identifiers 1

IdentifierTypeStateIssuer
7100221010MedicaidKY

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
I20120816000506 KY Practitioner - Optometry 5698947703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisville Eye Center PLLCGroup PAC ID 6709186190, 2 clinicians

Practice addresses (Care Compare)

2420 Lime Kiln LN
Suite H
Louisville, KY 40222-3425
Phone (502) 426-5000

Merit-based Incentive Payment System (MIPS)

Final score
79.23 of 100Reported as group
Quality
58.46
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2704OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Eye Center PLLC Optometrist CurrentSince Nov 12, 2015 Accepting new patients
Northeastern State University College of Optometry Optometrist PastSince Jul 1, 2025 Accepting new patients

Locations

2420 Lime Kiln Ln
Ste H
Louisville, KY 40222
Phone (502) 371-9700

2420 Lime Kiln Ln
Louisville, KY 40222
Phone (502) 425-6121

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": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1346528049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 LIME KILN LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402223425",
            "telephone_number": "270-929-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 LIME KILN LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402223425",
            "telephone_number": "502-426-5000",
            "fax_number": "502-426-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNULTY",
        "first_name": "AARON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-28",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1903DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100221010",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.