Active NPI
John Heltsley
- Optometrist
- Hopkinsville, KY
National Provider Identifier
1649378613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1265DT
- Practice address
- 1620 S Main St
Hopkinsville, KY 42240-1990 - Phone
- (270) 886-6316
- Fax
- (270) 886-6323
- NPI assigned
- Sep 21, 2006
- Last updated
- Jul 31, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1265DT | KY | Primary |
Addresses
Primary practice location
1620 S Main St
Hopkinsville, KY 42240-1990
Mailing address
PO Box 786
1620 South Main St
Hopkinsville, KY 42241
Phone (270) 886-6316
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77902294 | Medicaid | KY | |
| 000000051763 | Other | KY | ANTHEM |
| 77012659 | Medicaid | KY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1620 S Main St
Hopkinsville, KY 42240-1990
Phone (270) 886-6316
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1265DT | KY | MD | Optometrist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Hopkinsville, KY
- NPI 1982883161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1649378613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 786",
"address_2": "1620 SOUTH MAIN ST",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "42241",
"telephone_number": "270-886-6316",
"fax_number": "270-886-6323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 S MAIN ST",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422401990",
"telephone_number": "270-886-6316",
"fax_number": "270-886-6323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELTSLEY",
"first_name": "JOHN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1265DT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77902294",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000051763",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77012659",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hopkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.