Patrick Novotny, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1279DT Issued in KY

Practice address

7900 Shelbyville Rd
Ste. A15
Louisville, KY 40222-5451

Phone

(502) 327-8568

Fax

(502) 327-0613

NPI assigned

Mar 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ky Doctors of Optometry, PLLCGroup PAC ID 0941108732, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Ky Doctors of Optometry, PLLC

  dba KY Doctors of Optometry

  • Optometrist
  • Louisville, KY
  • NPI 1700890001
  Medicare reassignment Care Compare group
• Tri-State Doctors of

  dba KY Doctors of Optometry

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1275617276

  Optometrist

  NPD
• Ky Doctors of Optometry, PLLC

  dba KY Doctors of Optometry

  • Eyewear Supplier
  • Elizabethtown, KY
  • NPI 1427131176

  Optometrist

  NPD (past)
• Ky Doctors of Optometry, PLLC

  dba KY Doctors of Optometry

  • Eyewear Supplier
  • Frankfort, KY
  • NPI 1790118776

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293062400000",
    "number": "1356475164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 SHELBYVILLE RD",
            "address_2": "STE. A15",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225451",
            "telephone_number": "502-327-8568",
            "fax_number": "502-327-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 SHELBYVILLE RD",
            "address_2": "STE. A15",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225451",
            "telephone_number": "502-327-8568",
            "fax_number": "502-327-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOTNY",
        "first_name": "PATRICK",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1279DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "P00869237",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71012797",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Collin Daniel Noud
• Muhammad Khuram Nouman, MD
• Nova Physician Group PLLC
• Melissa A Novak, MSW, CSW
• Dante Novario, BCBA
• Now Works LLC (Shelby Counseling Associates)
• Michael Nowacki, M.D.
• Bryce Nowak, PHARMD
• Lily Nowakowski
• Clinton M Nowicke, PSYCHOLOGY ASSISTANT

• Optometrist in Louisville, KY
• Providers in Louisville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.