Richard Salisbury, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1194DT Issued in KY

Practice address

10870 Main Street
Martin, KY 41649-7999

Phone

(606) 285-0005

Fax

(606) 285-0007

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Guardian Care Surgical PSC

  • Clinic/Center
  • Louisa, KY
  • NPI 1639369176
  NPD (past)
• Medicine Market

  • Community/Retail Pharmacy
  • Martin, KY
  • NPI 1265753909
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1700974268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1473",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "416491473",
            "telephone_number": "606-285-0005",
            "fax_number": "606-285-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10870 MAIN STREET",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "416497999",
            "telephone_number": "606-285-0005",
            "fax_number": "606-285-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALISBURY",
        "first_name": "RICHARD",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1194DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77011948",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saint Joseph Health System Inc
• Saint Joseph Health System Inc
• Saint Joseph Health System Inc
• Saint Joseph Health System Inc
• Saint Joseph Health System Inc
• Melissa Ann Samons
• Ira Bonita Slone, BA
• Joshua Slone, BA
• William H. Smith-Mensah, M.D.
• Stephanie Janae Smith, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.