Jacob Burton, O.D
Individual provider Active NPI Optometrist · Columbia, KY
NPI 1629324918 · NPPES record last updated Jun 3, 2022
Key facts
- NPI
- 1629324918
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- KY1893DT (KY)
- Practice address
- 301 Burkesville Street
Columbia, KY 42728-1921 - Phone
- (270) 384-6043
- Fax
- (270) 384-0672
- NPI assigned
- Jul 24, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Downey Eye Clinic, PLLC
Practice addresses (Care Compare)
1463 Campbellsville Rd
Columbia, KY 42728-2263
Phone (270) 384-6043
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.32 of 100
- Quality
- 54.03
- Promoting interoperability
- 82
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 69 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120921000641 | KY | Practitioner - Optometry | 0941456800 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY1893DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downey Eye Clinic, PLLC | Optometrist | Current |
Accepting new patients |
Locations
1463 Campbellsville Rd
Columbia, KY 42728
Phone (270) 384-6043
310 Steve Dr
Ste 1
Russell Springs, KY 42642
Phone (270) 866-4414
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | KY1893DT | KY | Yes |
Addresses
Primary practice location
301 Burkesville Street
Columbia, KY 42728-1921
Mailing address
301 Burkesville Street
Columbia, KY 42728-1921
Phone (270) 384-6043
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KY1893DT | Other | KY | STATE LICENSE NUMBER |
| 1841253424 | Other | KY | GROUP NPI |
Other providers in Columbia, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.