Individual provider Active NPI

Carl W. Sydnor, O.D.

  • Vision Therapy Optometrist
  • Brandenburg, KY
National Provider Identifier
1619973112
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
1192DT Issued in KY
Practice address
732 High St
Brandenburg, KY 40108-1234
Phone
(270) 422-4241
Fax
(270) 422-5211
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 25

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.

View all 25

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ky Doctors of Optometry, PLLC 64 clinicians

Practice addresses (Care Compare)

1609 N Dixie Ave
Suite 100
Elizabethtown, KY 42701-7494
Phone (270) 765-7372

2608 Scottsville Rd
Bowling Green, KY 42104-4406
Phone (270) 782-2025

3910 Hinkleville Rd
Paducah, KY 42001-9017
Phone (270) 443-2090

4135 Fort Campbell Blvd
Hopkinsville, KY 42240-8706
Phone (270) 887-5765

500 Winchester Ave
Suite 810
Ashland, KY 41101-7362
Phone (606) 324-3672

5224 Dixie Hwy
Louisville, KY 40216-1704
Phone (502) 449-2080

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

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
I20091006000056 KY Practitioner - Optometry 8123081254 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1192DTKYMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ky Doctors of Optometry, PLLC Vision Therapy Past Accepting new patients
Ky Doctors of Optometry, PLLC Vision Therapy Past Accepting new patients
Ky Doctors of Optometry, PLLC Vision Therapy Past Accepting new patients
Ky Doctors of Optometry, PLLC Vision Therapy Past Accepting new patients
Ky Doctors of Optometry, PLLC Vision Therapy Past Accepting new patients
Ky Doctors of Optometry, PLLC Past Accepting new patients
Ky Doctors of Optometry, PLLC Vision Therapy Past Accepting new patients
Eye Associates of Southern Indiana PC Vision Therapy Past Accepting new patients
Tri-State Doctors of Vision Therapy Past Accepting new patients
Ky Doctors of Optometry, PLLC Vision Therapy Past Accepting new patients
Tri-State Doctors of Vision Therapy Past Accepting new patients
Carl W. Sydnor PastSince Nov 9, 2004 Accepting new patients
Ky Doctors of Optometry, PLLC Past Accepting new patients
Ky Doctors of Optometry, PLLC Vision Therapy Past Accepting new patients
Ky Doctors of Optometry, PLLC Vision Therapy Past Accepting new patients

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 1192DT KY Primary

Addresses

Primary practice location

732 High St
Brandenburg, KY 40108-1234

Mailing address

732 High St
Brandenburg, KY 40108-1234
Phone (270) 422-4241

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1619973112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 HIGH ST",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081234",
            "telephone_number": "270-422-4241",
            "fax_number": "270-422-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 HIGH ST",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081234",
            "telephone_number": "270-422-4241",
            "fax_number": "270-422-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYDNOR",
        "first_name": "CARL",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "KY",
            "license": "1192DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandenburg, KY

Sources for this page

Verify at the official NPI Registry.