Active NPI
Carl W. Sydnor, O.D.
- Vision Therapy Optometrist
- Brandenburg, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 1192DT
- 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.
-
- Optometrist
- Brandenburg, KY
- NPI 1083810063
-
- Eyewear Supplier
- Lexington, KY
- NPI 1255415410
-
- Eyewear Supplier
- Louisville, KY
- NPI 1417384207
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
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091006000056 | KY | Practitioner - Optometry | 8123081254 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1192DT | KY | MD | Vision Therapy Optometrist |
Practice roles
| Organization | Specialty | Status | 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 | 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 | Past | 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.