Active NPI
Suzannah R Rich, O.D.
- Optometrist
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1355DT
- Practice address
- 4051 Nicholasville Rd
Inside Wal-Mart Vision Ctr
Lexington, KY 40503-4432 - Phone
- (859) 272-1422
- NPI assigned
- Jun 23, 2006
- Last updated
- Dec 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1355DT | KY | Primary |
Addresses
Primary practice location
4051 Nicholasville Rd
Inside Wal-Mart Vision Ctr
Lexington, KY 40503-4432
Mailing address
1024 N Main St
Inside Wal-Mart Vision Center
Nicholasville, KY 40356-2311
Phone (859) 881-5444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000362600 | Other | KY | BLUE CROSS BLUE SHIELD |
| 77000271 | Medicaid | KY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
107 Crosswind Ctr Path
Georgetown, KY 40324-6190
Phone (502) 863-6393
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.17 of 100
- Quality
- 98.33
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Max PLLC | Optometrist | Current | Accepting new patients |
| Advanced Eye Care Center, PSC | Optometrist | Current | Accepting new patients |
| Dawn C Stratton OD PSC | Optometrist | Current | Accepting new patients |
Locations
107 Crosswind Center Path
Georgetown, KY 40324
Phone (502) 863-6393
3180 Richmond Rd
Lexington, KY 40509
Phone (859) 268-1109
4051 Nicholasville Rd
Lexington, KY 40503
Phone (859) 272-1422
535 Wellington Way
Ste 160
Lexington, KY 40503
Phone (859) 245-2020
1024 N Main St
Nicholasville, KY 40356
Phone (859) 241-2148
Organizations & group practices 3
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.
-
- Optometrist
- Georgetown, KY
- NPI 1427087154
-
- Optometrist
- Lexington, KY
- NPI 1144362559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1518993583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 N MAIN ST",
"address_2": "INSIDE WAL-MART VISION CENTER",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403562311",
"telephone_number": "859-881-5444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4051 NICHOLASVILLE RD",
"address_2": "INSIDE WAL-MART VISION CTR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405034432",
"telephone_number": "859-272-1422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICH",
"first_name": "SUZANNAH",
"middle_name": "R",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1355DT",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000362600",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77000271",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.