Individual provider Active NPI

Troy Dale Coker, O.D.

  • Optometrist
  • Jeffersonville, IN
National Provider Identifier
1376545038
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002957B Issued in IN
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

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200196340AMedicaidIN
203722741OtherINTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071022000549 IN Practitioner - Optometry 9436245479 Reassigns benefits to 1 organization
I20080505000431 KY Practitioner - OptometryPractitioner - Other (Physician) 9436245479 Reassigns benefits to 1 organization

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

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002957BINMDOptometrist
1408DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Doctors of Optometrist CurrentSince Jul 27, 2022 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.

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

Verify at the official NPI Registry.