Individual provider Active NPI

Lotus Tian En Schifsky, OD

  • Optometrist
  • Louisville, KY
National Provider Identifier
1366127441
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004419 Issued in IN
Practice address
3701 Hopewell Rd Ste 900
Louisville, KY 40299-5395
Phone
(502) 398-3937
Fax
(502) 633-7326
NPI assigned
Jun 16, 2023
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 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 18004419 IN Primary

Addresses

Primary practice location

3701 Hopewell Rd Ste 900
Louisville, KY 40299-5395

Mailing address

403 Washington St
Shelbyville, KY 40065-1127
Phone (502) 647-3937

Other practice location 1

403 Washington St
Shelbyville, KY 40065-1127
Phone (502) 647-3937

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
I20240105001696 KY Practitioner - Optometry 2163873969 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18004419INMDOptometrist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1366127441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WASHINGTON ST",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651127",
            "telephone_number": "502-647-3937",
            "fax_number": "502-633-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 HOPEWELL RD STE 900",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402995395",
            "telephone_number": "502-398-3937",
            "fax_number": "502-633-7326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 Washington St",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "KY",
            "postal_code": "400651127",
            "country_code": "US",
            "telephone_number": "502-647-3937",
            "fax_number": "502-633-7326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHIFSKY",
        "first_name": "LOTUS",
        "middle_name": "TIAN EN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.