Individual provider Active NPI

Joshua David Justice, D.O.

  • Ophthalmology Physician
  • Louisville, KY
National Provider Identifier
1710185277
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
03386 Issued in KY
Practice address
6400 Dutchmans Pkwy
Suite 125
Louisville, KY 40205-3351
Phone
(502) 896-8700
Fax
(502) 896-0813
NPI assigned
Jul 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 03386 KY Primary

Addresses

Primary practice location

6400 Dutchmans Pkwy
Suite 125
Louisville, KY 40205-3351

Mailing address

6400 Dutchmans Pkwy
Suite 125
Louisville, KY 40205-3351
Phone (502) 896-8700

Other identifiers 1

IdentifierTypeStateIssuer
7100188720MedicaidKY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111004000691 KY Practitioner - Ophthalmology 2860664422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Eye Care PSCGroup PAC ID 5092798389, 11 clinicians

Practice addresses (Care Compare)

6400 Dutchmans Pkwy
Suite 125
Louisville, KY 40205-3342
Phone (502) 896-8700

Merit-based Incentive Payment System (MIPS)

Final score
92.3 of 100Reported as group
Quality
98.56
Improvement activities
40
Cost
76.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Eye Care PSC Ophthalmology CurrentSince Mar 17, 2013 Accepting new patients
Kentucky Eye Care PSC Ophthalmology CurrentSince Mar 17, 2013 Accepting new patients
Kentucky Eye Care PSC Ophthalmology Past Accepting new patients
Charles J. Breen, MD, PSC Ophthalmology PastSince Feb 1, 2006 Accepting new patients

Locations

5202 Preston Hwy
Louisville, KY 40213
Phone (502) 966-2148

6400 Dutchmans Pkwy
Ste 125
Louisville, KY 40205

1169 Eastern Pkwy
Ste 1211
Louisville, KY 40217
Phone (502) 451-7740

13 Village Plz
Shelbyville, KY 40065
Phone (800) 525-0414

189 Adam Shepherd Pkwy
Ste 20
Shepherdsville, KY 40165
Phone (502) 215-7094

Organizations & group practices 4

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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1710185277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY",
            "address_2": "SUITE 125",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053351",
            "telephone_number": "502-896-8700",
            "fax_number": "502-896-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY",
            "address_2": "SUITE 125",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053351",
            "telephone_number": "502-896-8700",
            "fax_number": "502-896-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "03386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100188720",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.