Individual provider Active NPI

Joshua Houston

  • Optometrist
  • Clarksville, IN
National Provider Identifier
1710337365
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003969A Issued in IN
Practice address
1030 Veterans Pkwy
Clarksville, IN 47129-2354
Phone
(812) 282-2020
NPI assigned
Jun 14, 2016
Last updated
Mar 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003969A IN Primary

Addresses

Primary practice location

1030 Veterans Pkwy
Clarksville, IN 47129-2354

Mailing address

15107 Abington Ridge PL
Louisville, KY 40245-5269
Phone (740) 396-0528

Other identifiers 1

IdentifierTypeStateIssuer
18003969AOtherININDIANA OPTOMETRIST LICENSE NUMBER

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170208001138 KY Practitioner - Optometry 0547543084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12951 Shelbyville Rd
Louisville, KY 40243-1537
Phone (502) 459-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003969AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Optometric Centers III, PSC Optometrist CurrentSince Apr 1, 2022 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist CurrentSince Feb 28, 2017 Accepting new patients
Louisville Optometric Centers III, PSC CurrentSince Apr 1, 2022 Accepting new patients
Louisville Eye Center PLLC Optometrist CurrentSince Jan 1, 2017 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Louisville Optometric Centers, III PSC Optometrist Past Accepting new patients

Locations

12951 Shelbyville Rd
Louisville, KY 40243
Phone (502) 254-1100

2420 Lime Kiln Ln
Ste H
Louisville, KY 40222
Phone (502) 371-9700

285 N Hubbards Ln
Ste 300
Louisville, KY 40207
Phone (502) 454-9122

4000 Poplar Level Rd
Louisville, KY 40213
Phone (502) 456-1004

7815 Preston Hwy
Louisville, KY 40219
Phone (502) 966-2020

1627 Midland Trl
Shelbyville, KY 40065
Phone (502) 633-2985

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1710337365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15107 ABINGTON RIDGE PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455269",
            "telephone_number": "740-396-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 VETERANS PKWY",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292354",
            "telephone_number": "812-282-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003969A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA OPTOMETRIST LICENSE NUMBER",
            "identifier": "18003969A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, IN

Sources for this page

Verify at the official NPI Registry.