Active NPI
Laura Elizabeth Compton
- Optometrist
- Bowling Green, KY
National Provider Identifier
1366979528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2069DT
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100504700 | Medicaid | KY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
335 New Towne Rd
Bowling Green, KY 42103-7966
Phone (270) 842-0383
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2069DT | KY | MD | Optometrist |
| 3371 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breiwa Ware & Jeskie PSC | Optometrist | Current | 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.
-
- Optometrist
- Scottsville, KY
- NPI 1659594992
-
- Optometrist
- Franklin, KY
- NPI 1164543013
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
- Community Care Pharmacy, L.L.C.
- Community Life Connections, LLC
- Community Medical Associates - Bowling Green LLC
- Community Options, Inc.
- David Thomas Compton, D.M.D., M.S.
- Makenzie Condiff, PHARMD
- Joseph Conley, MD
- Connections Speech & Language Services
- Carmen Melayna Cook Conner
- Courtney Beth Conner
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.