Individual provider Active NPI

Emily M Ebelhar, OD

  • Optometrist
  • Louisville, KY
National Provider Identifier
1598335259
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2237DT Issued in KY
Practice address
1536 Story Ave
Louisville, KY 40206-1738
Phone
(502) 589-1500
Fax
(502) 589-1556
NPI assigned
Jun 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2237DT KY Primary

Addresses

Primary practice location

1536 Story Ave
Louisville, KY 40206-1738

Mailing address

1536 Story Ave
Louisville, KY 40206-1738
Phone (502) 589-1500

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
I20210701003693 KY Practitioner - Optometry 3870994486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Associates, PSCGroup PAC ID 5991602757, 7 clinicians

Practice addresses (Care Compare)

1536 Story Ave
Louisville, KY 40206-1738
Phone (502) 589-1500

Merit-based Incentive Payment System (MIPS)

Final score
88.06 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
60.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2237DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Associates, PSC Optometrist CurrentSince Jul 1, 2021 Accepting new patients

Locations

1536 Story Ave
Louisville, KY 40206
Phone (502) 589-1500

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1598335259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 STORY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061738",
            "telephone_number": "502-589-1500",
            "fax_number": "502-589-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 STORY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061738",
            "telephone_number": "502-589-1500",
            "fax_number": "502-589-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBELHAR",
        "first_name": "EMILY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-12-16",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2237DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.