Elaine Nicole Desario, O.D.
Individual provider Active NPI Optometrist · Lexington, KY
NPI 1508065418 · NPPES record last updated Feb 22, 2017
Key facts
- NPI
- 1508065418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1701DT (KY)
- Practice address
- 2160 Sir Barton Way
Suite 143
Lexington, KY 40509-2228 - Phone
- (859) 543-0857
- Fax
- (859) 543-0737
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valley Health Systems, Inc
Practice addresses (Care Compare)
112 S Vinson Ave
Louisa, KY 41230-1155
Phone (606) 638-4731
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 20 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090108000492 | KY | Practitioner - Optometry | 5890858435 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1701DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Health Systems, Inc. | Current |
Accepting new patients | |
| Valley Health Systems, Inc | Current |
Accepting new patients | |
| Baptist Healthcare System Inc | Past | Accepting new patients |
Locations
112 S Vinson Ave
Ste 143
Louisa, KY 41230
112 S Vinson Ave
Louisa, KY 41230
Phone (606) 638-4731
Interoperability endpoints
- edesario29136@valleyhealthsystems.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1701DT | KY | Yes |
Addresses
Primary practice location
2160 Sir Barton Way
Suite 143
Lexington, KY 40509-2228
Mailing address
112 S Vinson Ave
Suite 143
Louisa, KY 41230-1155
Phone (606) 638-4731
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.