Paul Lee Patterson II, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1011DT Issued in KY

Practice address

295 Campbellsville Bypass
Ste 1
Campbellsville, KY 42718

Phone

(270) 465-4677

Fax

(270) 465-4677

NPI assigned

Jun 30, 2006

Last updated

Feb 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Paul L Patterson II OD PSC

  • Medical Specialty Clinic/Center
  • Campbellsville, KY
  • NPI 1609179589
  NPD (past) Authorized official
• Downey Eye Clinic, PLLC

  • Optometrist
  • Russell Springs, KY
  • NPI 1083406490
  NPD (past)
• John Kenyon American Eye Institute LLC

  dba Eye Surgery Center of Elizabethtown

  • Ambulatory Surgical Clinic/Center
  • Elizabethtown, KY
  • NPI 1013513308
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1497784755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 CAMPBELLSVILLE BYPASS",
            "address_2": "STE 1",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "42718",
            "telephone_number": "270-465-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 CAMPBELLSVILLE BYPASS",
            "address_2": "STE 1",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "42718",
            "telephone_number": "270-465-4677",
            "fax_number": "270-465-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "PAUL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1011DT",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "KY",
            "license": "1011DT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Padgett
• Jessica Nicole Paris
• Kitty Paris
• Mary Justine Parrott-Allen
• Patient AIDS Inc
• Patty-Cake Physical Therapy Inc
• Paul L Patterson II OD PSC
• Rhonda Pauley
• Alexis Pearish
• Sarah Rae Pelczynski-Kunda, MS, BCBA, LBA

• Optometrist in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.