Active NPI
David Thomas Woody, O.D.
- Optometrist
- Bardstown, KY
National Provider Identifier
1467583468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1248DT
- Practice address
- 311 N 3Rd St
Bardstown, KY 40004-1507 - Phone
- (502) 348-8584
- Fax
- (502) 348-4695
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1248DT | KY | Primary |
Addresses
Primary practice location
311 N 3Rd St
Bardstown, KY 40004-1507
Mailing address
311 N 3Rd St
Bardstown, KY 40004-1507
Phone (502) 348-8584
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000049974 | Other | KY | UNICARE PROVIDER NUMBER |
| 000000049974 | Other | KY | ANTHEM PROVIDER NUMBER |
| 77012482 | Medicaid | KY | |
| 911296 | Other | KY | PASSPORT PROVIDER NUMBER |
| 410023108 | Other | KY | RAILROAD MEDICARE NUMBER |
| 4673505 | Other | KY | AETNA PROVIDER NUMBER |
| 11314 | Other | KY | UNITED HEALTH CARE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1992
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
105 Crossfield Dr
Versailles, KY 40383-1444
Phone (859) 879-3665
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Vision Care Kentucky, LLC | Optometrist | Current | Accepting new patients |
| Ky Doctors of Optometry, PLLC | Optometrist | Current | 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
614 Buttermilk Pike
Crescent Springs, KY 41017
Phone (859) 320-0221
3801 Mall Rd
Ste 115
Lexington, KY 40503
Phone (859) 277-2020
3735 Palomar Centre Dr
Ste 170
Lexington, KY 40513
Phone (859) 271-2020
4655 Outer Loop
Louisville, KY 40219
Phone (502) 966-2020
105 Crossfield Dr
Versailles, KY 40383
Phone (859) 873-3665
316 S Hamilton Rd
Gahanna, OH 43230
Organizations & group practices 6
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
- Fort Mitchell, KY
- NPI 1396396750
-
- Optometrist
- Louisville, KY
- NPI 1700890001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305072000000",
"number": "1467583468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 N 3RD ST",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400041507",
"telephone_number": "502-348-8584",
"fax_number": "502-348-4695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N 3RD ST",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400041507",
"telephone_number": "502-348-8584",
"fax_number": "502-348-4695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODY",
"first_name": "DAVID",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2011-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1248DT",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE PROVIDER NUMBER",
"identifier": "000000049974",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000049974",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77012482",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT PROVIDER NUMBER",
"identifier": "911296",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "410023108",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "4673505",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "11314",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bardstown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.