NPIMap

Organization Active NPI

Louisville Optometric Center III, PSC

Doing business as VisionFirst

  • Optometrist
  • Louisville, KY
National Provider Identifier
1649745191
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LOUISVILLE OPTOMETRIC CENTER III, PSC
Doing business as
VisionFirst
Practice address
285 Hubbards Lane
Suite 300
Louisville, KY 40207
Phone
(502) 454-9122
Fax
(502) 895-3602
NPI assigned
Oct 11, 2018
Last updated
Sep 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
LOUISVILLE OPTOMETRIC CENTERS III PSCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Mary McCloskey
Title
Credentialing
Phone
(502) 813-8923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

285 Hubbards Lane
Suite 300
Louisville, KY 40207

Mailing address

4000 Poplar Level Rd
Louisville, KY 40213-1524
Phone (502) 459-2020

Other identifiers 1

IdentifierTypeStateIssuer
7100010580MedicaidKY

Other names 1

  • VisionFirst Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181204002042 KY DME Supplier - Physician - Optometrist 8729041926 Practice locations: Louisville, KY

Other NPIs with the same Medicare PAC ID 18

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 18

National Provider Directory

National Provider Directory
Tax ID family
Louisville Optometric I33 organizations share this tax ID, including this one
Part of
Louisville Optometric I

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1649745191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 POPLAR LEVEL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131524",
            "telephone_number": "502-459-2020",
            "fax_number": "502-456-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 HUBBARDS LANE",
            "address_2": "SUITE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-454-9122",
            "fax_number": "502-895-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE OPTOMETRIC CENTER III, PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOUISVILLE OPTOMETRIC CENTERS III PSC",
        "enumeration_date": "2018-10-11",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "MCCLOSKEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "502-813-8923"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100010580",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VisionFirst",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VisionFirst",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.