Daniel Steven Bloemer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2235DT Issued in KY

Practice address

2525 Elizabethtown Rd
Leitchfield, KY 42754-9120

Phone

(270) 259-2020

NPI assigned

Jun 23, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Louisville Optometric Centers III, PSCGroup PAC ID 8729041926, 38 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Louisville Optometric Centers III, PSC

  • Optometrist
  • Louisville, KY
  • NPI 1134111271

  KY, Optometrist

  Medicare reassignment Care Compare group NPD
• Louisville Optometric Centers III, PSC

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1538938725
  Care Compare group NPD
• Louisville Optometric Center III, PSC

  • Optometrist
  • Louisville, KY
  • NPI 1649745191
  Care Compare group
• Louisville Optometric Centers III, PSC

  • Eyewear Supplier
  • Frankfort, KY
  • NPI 1366512733
  Care Compare group
• Louisville Optometric Centers III, PSC

  • Eyewear Supplier
  • Elizabethtown, KY
  • NPI 1588345938
  Care Compare group
• Louisville Optometric Centers III, PSC

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1689415176
  Care Compare group
• Louisville Optometric Centers, III PSC

  • Eyewear Supplier
  • Hodgenville, KY
  • NPI 1205906930
  Care Compare group
• Louisville Optometric Centers, III PSC

  • Eyewear Supplier
  • Leitchfield, KY
  • NPI 1235209974
  Care Compare group
• Louisville Optometric Centers, III PSC

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1265502074
  Care Compare group
• Louisville Optometric Centers, III PSC

  • Eyewear Supplier
  • Shelbyville, KY
  • NPI 1578633210
  Care Compare group
• Louisville Optometric Centers, III PSC

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1669545554
  Care Compare group
• Louisville Optometric Centers, III PSC

  • Eyewear Supplier
  • Munfordville, KY
  • NPI 1740316207
  Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1346819232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 DYCUS RD",
            "city": "KUTTAWA",
            "state": "KY",
            "postal_code": "420556260",
            "telephone_number": "270-625-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 ELIZABETHTOWN RD",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427549120",
            "telephone_number": "270-259-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOEMER",
        "first_name": "DANIEL",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2235DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean David Beard, PT, DPT
• Darien Beatty
• Joshawa Bechtel, D.C.
• Ray J Begay
• Brandon Bishop, RBT
• Bluegrass Family Healthcare, PLLC
• Bluegrass Family Healthcare, PLLC
• Kristin Nicole Board, DPT
• Amy Nicole Boswell, BA PRIMARY SERVICE C
• Kristy M Bratcher, RD

• All providers in Leitchfield, KY
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.

Verify at the official NPI Registry.