Individual provider Active NPI

Kera Leigh Kay, O.D.

  • Optometrist
  • Evansville, IN
National Provider Identifier
1629452081
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003921A Issued in IN
Practice address
5700 Vogel Rd
Evansville, IN 47715
Phone
(812) 476-2020
NPI assigned
Jul 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1999DT KY
Optometrist 152W00000X 18003921A IN Primary

Addresses

Primary practice location

5700 Vogel Rd
Evansville, IN 47715

Mailing address

5700 Vogel Rd
Evansville, IN 47715-7297
Phone (812) 476-2020

Other identifiers 1

IdentifierTypeStateIssuer
201319390MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20150824002513 IN Practitioner - Optometry 1153637962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Myoptix Family Eyecare, LLCGroup PAC ID 3072772813, 3 clinicians

Practice addresses (Care Compare)

5700 Vogel Rd
Evansville, IN 47715-7297
Phone (812) 476-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003921AINMDOptometrist
1999DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Eye Care, PLLC Optometrist CurrentSince Sep 23, 2024 Accepting new patients
Paul J. Hardesty Optometrist PastSince Jul 11, 2016 Accepting new patients

Locations

1705 Frederica St
Owensboro, KY 42301
Phone (270) 683-2121

Organizations & group practices 3

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": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1629452081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 VOGEL RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157297",
            "telephone_number": "812-476-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 VOGEL RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47715",
            "telephone_number": "812-476-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAY",
        "first_name": "KERA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1999DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003921A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201319390",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.