Fatima Elkabti

Primary specialty

OptometristTaxonomy code 152W00000X

License

2139DT Issued in KY

Practice address

10232 Westport Rd
Louisville, KY 40241

Phone

(502) 339-2042

Fax

(502) 339-2044

NPI assigned

Oct 13, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: fatimaelkabti@direct.eyecare-partners.com

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1609247808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207170",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207156",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10232 WESTPORT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40241",
            "telephone_number": "502-339-2042",
            "fax_number": "502-339-2044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7003 S BROADWAY AVE",
            "address_purpose": "LOCATION",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034737",
            "country_code": "US",
            "telephone_number": "903-630-7880",
            "fax_number": "903-534-3787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7003 S BROADWAY AVE",
            "address_purpose": "LOCATION",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034737",
            "country_code": "US",
            "telephone_number": "903-630-7880",
            "fax_number": "903-534-3787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10639 Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402724349",
            "country_code": "US",
            "telephone_number": "502-231-2020",
            "fax_number": "502-736-4485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Blackiston Mill Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "IN",
            "postal_code": "471292290",
            "country_code": "US",
            "telephone_number": "812-288-2029",
            "fax_number": "502-736-4495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "544 Conestoga Pkwy Ste 17",
            "address_purpose": "LOCATION",
            "city": "Shepherdsville",
            "state": "KY",
            "postal_code": "401655677",
            "country_code": "US",
            "telephone_number": "502-955-2020",
            "fax_number": "502-736-4488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6828 Bardstown Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402913050",
            "country_code": "US",
            "telephone_number": "502-231-2020",
            "fax_number": "502-736-4485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELKABTI",
        "first_name": "FATIMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8706T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15406",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004147A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2139DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Louisville, KY
• Providers in Louisville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.