Individual provider Active NPI

Romina A. Houston, O.D.

  • Optometrist
  • Louisville, KY
National Provider Identifier
1477006971
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2038DT Issued in KY
Practice address
5023 Mud LN Ste 110
Louisville, KY 40229-2800
Phone
(502) 964-9400
Fax
(502) 964-1915
NPI assigned
Aug 1, 2016
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2038DT KY Primary
Optometrist 152W00000X 18003995A IN

Addresses

Primary practice location

5023 Mud LN Ste 110
Louisville, KY 40229-2800

Mailing address

5023 Mud LN Ste 110
Louisville, KY 40229-2800
Phone (502) 964-9400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161025001892 KY Practitioner - Optometry 2062790108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5023 Mud LN
Suite 110
Louisville, KY 40229-2870
Phone (502) 968-2015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003995AINMDOptometrist
2038DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Optometric Centers III, PSC Optometrist CurrentSince Aug 3, 2016 Accepting new patients
Louisville Optometric Centers III, PSC CurrentSince Aug 3, 2016 Accepting new patients
Louisville Optometric Centers III, PSC PastSince Jun 9, 2024 Accepting new patients
Louisville Optometric Centers, III PSC Optometrist Past Accepting new patients

Locations

11809 Standiford Plaza Dr
#1
Louisville, KY 40229

11809 Standiford Plaza Dr
Ste 1
Louisville, KY 40229
Phone (502) 964-9400

285 N Hubbards Ln
Ste 300
Louisville, KY 40207
Phone (502) 454-9122

4000 Poplar Level Rd
Louisville, KY 40213
Phone (502) 456-1004

5023 Mud Ln
Ste 110
Louisville, KY 40229
Phone (502) 964-9400

6812 Dixie Hwy
Louisville, KY 40258
Phone (502) 423-8500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1477006971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 MUD LN STE 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292800",
            "telephone_number": "502-964-9400",
            "fax_number": "502-964-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5023 MUD LN STE 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292800",
            "telephone_number": "502-964-9400",
            "fax_number": "502-964-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "ROMINA",
        "middle_name": "A.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2038DT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003995A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.