Irefract PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

IREFRACT PC

Practice address

3408 Bardstown Rd
Louisville, KY 40218-4608

Phone

(502) 912-9869

NPI assigned

Feb 16, 2021

Organization subpart

No

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

Authorized official

Name

Benjamin Garrison

Title

Managing Partner

Phone

(801) 564-4436

Specialties & licenses 14

Addresses

Other names 1

• iRefract Doing business as

Medicare fee-for-service enrollment

Enrolled in OK, KY, PA, IN4 enrollments

Enrollment records 4

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donna Louise Grider, O.D.

  • Optometrist
  • Springfield, PA
  • NPI 1003952359
  Medicare reassignment Care Compare group NPD
• Brent Plaxico, O.D.

  • Optometrist
  • Owasso, OK
  • NPI 1922012962
  Medicare reassignment Care Compare group NPD
• Gerald C Roberson, O.D.

  • Optometrist
  • Tulsa, OK
  • NPI 1558368613
  Medicare reassignment Care Compare group NPD
• Kimberly Goergiann Bray, O.D.

  • Optometrist
  • Terre Haute, IN
  • NPI 1073630950
  Medicare reassignment NPD
• Jenan Sallit, OD

  • Optometrist
  • Pittsburgh, PA
  • NPI 1295302958
  Medicare reassignment NPD
• Sarah M Yi, O.D.

  • Optometrist
  • Waianae, HI
  • NPI 1801144993

  KY

  Medicare reassignment NPD
• Thomas E Garrison, MD

  • Emergency Medicine Physician
  • Scottsdale, AZ
  • NPI 1134131154
  NPD

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1679166193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 E PINNACLE PEAK RD STE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553583",
            "telephone_number": "480-571-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402184608",
            "telephone_number": "502-912-9869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10222 S Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741337179",
            "country_code": "US",
            "telephone_number": "918-710-2220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Highland Colony Pkwy",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391578701",
            "country_code": "US",
            "telephone_number": "601-499-8581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IREFRACT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "801-564-4436"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FC0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ophthalmic Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optometric Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optometric Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iRefract",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Charlotte Rose Ipsan, ARNP MSN
• Tracy Erin Iradi, PTA
• Kathryn Harder Iragavarapu, APRN
• Evelyne Irankunda
• Lee Ireland, PTA
• Hanya Irfan
• Zain Sanaullah Irfan
• Max L Irick, MD
• Iris Counseling Services LLC

• Optometrist in Louisville, KY
• Providers in Louisville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.