Lori Bettenhausen Williams, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

39993 Issued in KY

Practice address

1413 Evergreen Rd
Anchorage, KY 40223

Phone

(502) 708-1059

Fax

(502) 708-1512

NPI assigned

Jan 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• La Vie En Rose Eye Care Specialists Inc

  • Ophthalmology Physician
  • Louisville, KY
  • NPI 1720784283

  KY, Ophthalmology

  Medicare reassignment NPD Authorized official
• Marion Eye Care Center PLLC

  • Optometrist
  • Marion, KY
  • NPI 1164530887
  NPD (past)
• Eye Associates of Southern Indiana PC

  • Durable Medical Equipment & Medical Supplies
  • New Albany, IN
  • NPI 1083607592

  Ophthalmology

  NPD (past)

Specialty

Ophthalmology

Education

Kentucky School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1588086508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 EVERGREEN RD",
            "city": "ANCHORAGE",
            "state": "KY",
            "postal_code": "402231473",
            "telephone_number": "502-708-1059",
            "fax_number": "502-708-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 EVERGREEN RD",
            "city": "ANCHORAGE",
            "state": "KY",
            "postal_code": "40223",
            "telephone_number": "502-708-1059",
            "fax_number": "502-708-1512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Broadway St",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420017158",
            "country_code": "US",
            "telephone_number": "270-444-1621 x144",
            "fax_number": "270-442-7307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Broadway St",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420017158",
            "country_code": "US",
            "telephone_number": "270-444-1621 x144",
            "fax_number": "270-442-7307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LORI",
        "middle_name": "BETTENHAUSEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-09",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "39993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Buse
• Anthony George Karem, MD
• Katie Martin Montgomery, LMFT
• Neff Karem Concierge Care PLLC
• Suzette Marie Turner-Clark, LCSW

• All providers in Anchorage, KY
• Ophthalmology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.

Verify at the official NPI Registry.