Individual provider Active NPI

Laura Elizabeth Compton

  • Optometrist
  • Bowling Green, KY
National Provider Identifier
1366979528
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2069DT Issued in KY
Practice address
335 New Towne Drive
Bowling Green, KY 42103
Phone
(270) 842-0383
Fax
(270) 842-0485
NPI assigned
May 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3371 TN
Optometrist 152W00000X 2069DT KY Primary

Addresses

Primary practice location

335 New Towne Drive
Bowling Green, KY 42103

Mailing address

403 N College St
Franklin, KY 42134-1829

Other practice location 1

254 Indian Lake Blvd
Hendersonville, TN 37075-6354
Phone (615) 822-0446

Other identifiers 1

IdentifierTypeStateIssuer
7100504700MedicaidKY

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
I20180112002374 KY Practitioner - Optometry 9133492184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breiwa, Ware and Jeskie PSC 5 clinicians

Practice addresses (Care Compare)

335 New Towne Rd
Bowling Green, KY 42103-7966
Phone (270) 842-0383

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2069DTKYMDOptometrist
3371TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Breiwa Ware & Jeskie PSC Optometrist CurrentSince Jul 30, 2018 Accepting new patients
Breiwa, Ware & Jeskie PSC Optometrist Current Accepting new patients
Compton & Compton Eyecare, PLLC Optometrist Past Accepting new patients

Locations

335 New Towne Dr
Bowling Green, KY 42103
Phone (270) 842-0383

Organizations & group practices 3

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": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1366979528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N COLLEGE ST",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421341829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 NEW TOWNE DRIVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42103",
            "telephone_number": "270-842-0383",
            "fax_number": "270-842-0485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254 Indian Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370756354",
            "country_code": "US",
            "telephone_number": "615-822-0446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMPTON",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3371",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2069DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100504700",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.