Individual provider Active NPI

Kevin Loesch, O.D.

  • Optometrist
  • Alexandria, KY
National Provider Identifier
1598822926
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1272DT Issued in KY
Practice address
6711 Alexandria Pike
Alexandria, KY 41001-1025
Phone
(859) 635-0948
NPI assigned
Jan 3, 2007
Last updated
Dec 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1272DT KY Primary

Addresses

Primary practice location

6711 Alexandria Pike
Alexandria, KY 41001-1025

Mailing address

119 Hunter's Hill
Alexandria, KY 41001-8576
Phone (859) 635-6179

Other identifiers 1

IdentifierTypeStateIssuer
24451OtherKYSPECTERA ID

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
I20041102000214 KY Practitioner - Optometry 4880656859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6711 Alexandria Pike
Alexandria, KY 41001-1025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1272DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin G. Loesch OD LLC Optometrist CurrentSince Sep 1, 1993 Accepting new patients

Locations

6711 Alexandria Pike
Alexandria, KY 41001
Phone (859) 635-1888

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, 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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1598822926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HUNTER'S HILL",
            "city": "ALEXANDRIA",
            "state": "KY",
            "postal_code": "410018576",
            "telephone_number": "859-635-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 ALEXANDRIA PIKE",
            "city": "ALEXANDRIA",
            "state": "KY",
            "postal_code": "410011025",
            "telephone_number": "859-635-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOESCH",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1272DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA ID",
            "identifier": "24451",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, KY

Sources for this page

Verify at the official NPI Registry.