Kelby Atkins Trusty, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3995TG Issued in TX

Practice address

3111 Unicorn Lake Blvd
Ste 100
Denton, TX 76210-0117

Phone

(940) 891-3937

Fax

(940) 591-8368

NPI assigned

Dec 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jfree@totaleyecare.eyefinitydirect.com

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.

• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  Medicare reassignment NPD
• Janet B Ogletree OD PA

  • Optometrist
  • Flower Mound, TX
  • NPI 1740313089
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1598740367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 UNICORN LAKE BLVD STE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100118",
            "telephone_number": "940-891-3937",
            "fax_number": "940-591-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 UNICORN LAKE BLVD",
            "address_2": "STE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100117",
            "telephone_number": "940-891-3937",
            "fax_number": "940-591-8368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 US Highway 380 Ste 500",
            "address_purpose": "LOCATION",
            "city": "Crossroads",
            "state": "TX",
            "postal_code": "762272516",
            "country_code": "US",
            "telephone_number": "940-488-4228",
            "fax_number": "940-591-8368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUSTY",
        "first_name": "KELBY",
        "middle_name": "ATKINS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "3995TG",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "TX",
            "license": "3995TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3995TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LICENSE NUMBER",
            "identifier": "3995TG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - PALMETTO DME",
            "identifier": "0178390001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019328601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80236Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janie Darlene Trowbridge, LPC
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• Truemark Labs LLC
• Trulife Wellness Chiropractic
• Steve B Tryling, MS, LPC, LCDC
• Kerry Ward Tryon, D.M.D.
• Morgan Tubbs
• Tammy Tubbs
• Suzanne Tuck, NP

• Optometrist in Denton, TX
• Providers in Denton, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.