Individual provider Active NPI

John Alfred Adams, O.D.

  • Optometrist
  • Winchester, KY
National Provider Identifier
1497900070
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1775DT Issued in KY
Practice address
1462 W Lexington Ave
Winchester, KY 40391-1294
Phone
(859) 737-5599
Fax
(859) 737-0650
NPI assigned
Nov 24, 2008
Last updated
Jul 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1775DT KY Primary
Optometrist 152W00000X TUV008252 NY

Addresses

Primary practice location

1462 W Lexington Ave
Winchester, KY 40391-1294

Mailing address

450 Margaret St
Plattsburgh, NY 12901-1755
Phone (518) 566-2020

Other identifiers 1

IdentifierTypeStateIssuer
7100121050MedicaidKY

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
I20100223000685 KY Practitioner - Optometry 7012051493 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert F Brooks OD PSCGroup PAC ID 5193765766, 2 clinicians
Jordan G Conley OD LLCGroup PAC ID 8426463159, 2 clinicians

Practice addresses (Care Compare)

1621 Ashland Rd
Greenup, KY 41144-1207

1621 Ashland Rd
Suite 3
Greenup, KY 41144-1269
Phone (606) 473-5322

451 River Hill Dr
Ashland, KY 41101-7387
Phone (606) 393-1053

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008252NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Ophthalmology Associates PSC Optometrist PastSince Aug 1, 2022 Accepting new patients

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": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1497900070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MARGARET ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011755",
            "telephone_number": "518-566-2020",
            "fax_number": "518-561-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 W LEXINGTON AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911294",
            "telephone_number": "859-737-5599",
            "fax_number": "859-737-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JOHN",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-24",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1775DT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008252",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100121050",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, KY

Sources for this page

Verify at the official NPI Registry.