Individual provider Active NPI

Laura Conrad Wilbanks, M.D.

  • Ophthalmology Physician
  • Louisville, KY
National Provider Identifier
1386024446
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
89696 Issued in SC
Practice address
301 E Muhammad Ali Blvd
Louisville, KY 40202-1511
Phone
(502) 588-0550
NPI assigned
Jun 4, 2015
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01081878A IN
Ophthalmology Physician 207W00000X 89696 SC Primary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 89696 SC
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 01081878A IN

Addresses

Primary practice location

301 E Muhammad Ali Blvd
Louisville, KY 40202-1511

Mailing address

169 Ashley Ave
Room 202 Main Hospital, Msc333
Charleston, SC 29425-8905
Phone (843) 792-3072

Other practice location 1

1919 State St Ste 210
New Albany, IN 47150-6805
Phone (812) 944-6063

Other practice location 2

169 Ashley Ave
Room 202 Main Hospital, MSC333
Charleston, SC 29425-8905
Phone (843) 792-3072

Other names 1

  • Laura Elizabeth Conrad Former name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190619000587 IN Practitioner - Ophthalmology 0143520213 Reassigns benefits to 1 organization
I20240822004707 KY Practitioner - Ophthalmology 0143520213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Louisville School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

301 E Muhammad Ali Blvd
Louisville, KY 40202-1511
Phone (502) 852-5466

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
62.41
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01081878AINMDOphthalmology Physician
89696SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Mar 24, 2025 Accepting new patients
University of Louisville Physicians, Inc. Ophthalmology Current Accepting new patients
University of Louisville Physicians CurrentSince Mar 24, 2025 Accepting new patients
Tim Conrad, M.D. Ophthalmology PastSince Jul 8, 2024 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

301 E Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 852-0710

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1386024446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE",
            "address_2": "ROOM 202 MAIN HOSPITAL, MSC333",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258905",
            "telephone_number": "843-792-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MUHAMMAD ALI BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021511",
            "telephone_number": "502-588-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 State St Ste 210",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471506805",
            "country_code": "US",
            "telephone_number": "812-944-6063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169 Ashley Ave",
            "address_2": "Room 202 Main Hospital, MSC333",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294258905",
            "country_code": "US",
            "telephone_number": "843-792-3072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILBANKS",
        "first_name": "LAURA",
        "middle_name": "CONRAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01081878A",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "89696",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "SC",
            "license": "89696",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "IN",
            "license": "01081878A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "CONRAD",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.