Active NPI
Troy Dale Coker, O.D.
- Optometrist
- Jeffersonville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002957B
- Practice address
- 432 Wall St
Jeffersonville, IN 47130-3428 - Phone
- (812) 283-7492
- Fax
- (812) 283-7599
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 18002957B | IN | Primary |
| Optometrist | 152W00000X | 1408DT | KY |
Addresses
Primary practice location
432 Wall St
Jeffersonville, IN 47130-3428
Mailing address
432 Wall St
Jeffersonville, IN 47130-3428
Phone (812) 283-7492
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200196340A | Medicaid | IN | |
| 203722741 | Other | IN | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3571 Springhurst Blvd
Louisville, KY 40241-4144
Phone (502) 339-7323
432 Wall St
Jeffersonville, IN 47130-3428
Phone (812) 283-7492
500 Winchester Ave
Suite 810
Ashland, KY 41101-7362
Phone (606) 324-3672
5224 Dixie Hwy
Louisville, KY 40216-1704
Phone (502) 449-2080
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002957B | IN | MD | Optometrist |
| 1408DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Doctors of | Optometrist | Current | Accepting new patients |
| Ky Doctors of Optometry, PLLC | Past | Accepting new patients | |
| Ky Doctors of Optometry, PLLC | Optometrist | Past | Accepting new patients |
| Ky Doctors of Optometry, PLLC | Optometrist | Past | Accepting new patients |
| Ky Doctors of Optometry, PLLC | Optometrist | Past | Accepting new patients |
| Ky Doctors of Optometry, PLLC | Optometrist | Past | Accepting new patients |
Locations
450 Connector Rd
Georgetown, KY 40324
Phone (502) 316-6490
3695 Nicholasville Rd
Ste 150
Lexington, KY 40503
Phone (859) 273-4443
5224 Dixie Hwy
Louisville, KY 40216
Phone (502) 449-2080
100 W Market St
Louisville, KY 40202
Phone (502) 587-8488
3571 Springhurst Blvd
Louisville, KY 40241
Phone (502) 339-7323
4655 Outer Loop
Louisville, KY 40219
Phone (502) 966-2020
13210 Shelbyville Rd
Ste 101
Louisville, KY 40223
Phone (502) 244-9198
1001 Breckenridge Ln
Louisville, KY 40207
Phone (502) 893-2015
7945 Bardstown Rd
Louisville, KY 40291
Phone (502) 231-4061
5047 Shelbyville Rd
St Matthews, KY 40207
Phone (502) 293-5340
Organizations & group practices 8
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
- Louisville, KY
- NPI 1700890001
-
- Optometrist
- Jeffersonville, IN
- NPI 1982896957
-
- Eyewear Supplier
- Louisville, KY
- NPI 1417384207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1376545038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 WALL ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303428",
"telephone_number": "812-283-7492",
"fax_number": "812-283-7599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 WALL ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303428",
"telephone_number": "812-283-7492",
"fax_number": "812-283-7599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COKER",
"first_name": "TROY",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002957B",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1408DT",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200196340A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "203722741",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.