Individual provider Active NPI

Elaine Nicole Desario, O.D.

  • Optometrist
  • Lexington, KY
National Provider Identifier
1508065418
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1701DT Issued in 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
Last updated
Feb 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1701DT KY Primary

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

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
I20090108000492 KY Practitioner - Optometry 5890858435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Systems, IncGroup PAC ID 9931017969, 110 clinicians

Practice addresses (Care Compare)

112 S Vinson Ave
Louisa, KY 41230-1155
Phone (606) 638-4731

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems, Inc. CurrentSince Mar 4, 2025 Accepting new patients
Valley Health Systems, Inc CurrentSince Mar 4, 2025 Accepting new patients
Baptist Healthcare System Inc Past Accepting new patients

Locations

112 S Vinson Ave
Louisa, KY 41230
Phone (606) 638-4731

112 S Vinson Ave
Ste 143
Louisa, KY 41230

42 McGinnis Dr
Wayne, WV 25570
Phone (304) 272-5136

Interoperability endpoints

  • Direct secure messaging: edesario29136@valleyhealthsystems.direct-ci.com

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1508065418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S VINSON AVE",
            "address_2": "SUITE 143",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412301155",
            "telephone_number": "606-638-4731",
            "fax_number": "606-393-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 SIR BARTON WAY",
            "address_2": "SUITE 143",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092228",
            "telephone_number": "859-543-0857",
            "fax_number": "859-543-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESARIO",
        "first_name": "ELAINE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1701DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.