Individual provider Active NPI

Namrata Donthamsetti, O.D.

  • Optometrist
  • Lexington, KY
National Provider Identifier
1407381387
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011043 Issued in IL
Practice address
2250 Leestown Rd
Lexington, KY 40511-1052
Phone
(889) 281-4949
NPI assigned
Apr 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011043 IL Primary

Addresses

Primary practice location

2250 Leestown Rd
Lexington, KY 40511-1052

Mailing address

1809 Meeting St
Apt. 1211
Lexington, KY 40509-4578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20171031001385 IL Practitioner - Optometry 5597031997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1850 W Roosevelt Rd
Chicago, IL 60608-1200
Phone (312) 666-1331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011043ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Chicago Lighthouse for People Who Are Blind Or Visually Impaired Optometrist CurrentSince Sep 19, 2017 Accepting new patients
Tatiyana Urbin, D.C. LTD Past Accepting new patients

Locations

1850 W Roosevelt Rd
Chicago, IL 60608
Phone (312) 997-3686

222 Waukegan Rd
Glenview, IL 60025
Phone (847) 510-6200

Organizations & group practices 2

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": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1407381387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 MEETING ST",
            "address_2": "APT. 1211",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 LEESTOWN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111052",
            "telephone_number": "889-281-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONTHAMSETTI",
        "first_name": "NAMRATA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.