Rebecca M. Adams, O.D.

Individual provider Active NPI Optometrist · Louisville, KY

NPI 1568080315 · NPPES record last updated Jul 8, 2020

Key facts

NPI
1568080315
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
2184DT (KY)
Practice address
4000 Poplar Level Rd
Louisville, KY 40213-1524
Phone
(502) 459-2020
Fax
(502) 456-9121
NPI assigned
Jul 8, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Optometry
Education
Southern College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisville Optometric Centers III, PSC (38 clinicians)

Practice addresses (Care Compare)

5023 Mud LN
Suite 110
Louisville, KY 40229-2870
Phone (502) 968-2015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

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 IDStateProvider typePAC IDDetails
I20200804003149 KY Practitioner - Optometry 6305261546 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Optometric Centers III, PSC Current
since Jul 1, 2020
Accepting new patients
Louisville Optometric Centers III, PSC Optometrist Current
since Jul 1, 2020
Accepting new patients
Louisville Optometric Centers III, PSC Past
since Jun 9, 2024
Accepting new patients

Locations

4000 Poplar Level Rd
Louisville, KY 40213
Phone (502) 456-1004

5023 Mud Ln
Ste 110
Louisville, KY 40229
Phone (502) 964-9400

11809 Standiford Plaza Dr
Ste 1
Louisville, KY 40229
Phone (502) 964-9400

2110 S Hurstbourne Pkwy
Louisville, KY 40220
Phone (502) 491-2232

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2184DT KY Yes

Addresses

Primary practice location

4000 Poplar Level Rd
Louisville, KY 40213-1524

Mailing address

4000 Poplar Level Rd
Louisville, KY 40213-1524
Phone (502) 459-2020

Other identifiers

IdentifierTypeStateIssuer
PENDINGMedicaidKY

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address Direct@VisionFirstAttnShannonBlairLouisvilleKY.CompulinkDirect.com Direct

Other providers in Louisville, KY

All providers in Louisville, KY · Optometrist in Kentucky

Sources for this page

Verify at the official NPI Registry.