Individual provider Active NPI

Heechung Ko, O.D.

  • Optometrist
  • Lexington, KY
National Provider Identifier
1609997337
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1514DT Issued in KY
Practice address
535 Wellington Way
Suite 160
Lexington, KY 40503-1385
Phone
(859) 275-2030
Fax
(859) 275-2130
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1514DT KY Primary

Addresses

Primary practice location

535 Wellington Way
Suite 160
Lexington, KY 40503-1385

Mailing address

535 Wellington Way
Suite 160
Lexington, KY 40503-1385
Phone (859) 275-2030

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
I20111024000330 KY Practitioner - Optometry 1052584893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dawn C Stratton OD PSCGroup PAC ID 8022215003, 4 clinicians

Practice addresses (Care Compare)

535 Wellington Way
Suite 160
Lexington, KY 40503-1387
Phone (859) 275-2030

Merit-based Incentive Payment System (MIPS)

Final score
99.17 of 100Reported as group
Quality
98.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1514DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn C Stratton OD PSC Optometrist CurrentSince Oct 11, 2011 Accepting new patients

Locations

535 Wellington Way
Ste 160
Lexington, KY 40503
Phone (859) 245-2020

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1609997337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 WELLINGTON WAY",
            "address_2": "SUITE 160",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031385",
            "telephone_number": "859-275-2030",
            "fax_number": "859-275-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 WELLINGTON WAY",
            "address_2": "SUITE 160",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031385",
            "telephone_number": "859-275-2030",
            "fax_number": "859-275-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "HEECHUNG",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1514DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.