Individual provider Active NPI

Suzannah R Rich, O.D.

  • Optometrist
  • Lexington, KY
National Provider Identifier
1518993583
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1355DT Issued in KY
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, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000362600OtherKYBLUE CROSS BLUE SHIELD
77000271MedicaidKY

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
I20050405000140 KY Practitioner - Optometry 1153378989 Reassigns benefits to 3 organizations

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
Advanced Eye Care Center, PSCGroup PAC ID 5698778256, 3 clinicians

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 100Reported as group
Quality
98.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Max PLLC Optometrist CurrentSince Jan 1, 2005 Accepting new patients
Advanced Eye Care Center, PSC Optometrist CurrentSince Mar 16, 2024 Accepting new patients
Dawn C Stratton OD PSC Optometrist CurrentSince Mar 5, 2024 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.

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

Verify at the official NPI Registry.