Individual provider Active NPI

Nicholas Silvestros, OD

  • Optometrist
  • Louisville, KY
National Provider Identifier
1730129537
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2006006993 Issued in MO
Practice address
4000 Poplar Level Rd
Louisville, KY 40213-1524
Phone
(502) 459-2020
Fax
(024) 569-1215
NPI assigned
Jun 8, 2006
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2006006993 MO Primary
Optometrist 152W00000X 2042DT KY

Addresses

Primary practice location

4000 Poplar Level Rd
Louisville, KY 40213-1524

Mailing address

4000 Poplar Level Rd
Louisville, KY 40213-1524
Phone (502) 813-8928

Other practice location 1

12951 Shelbyville Rd
Louisville, KY 40243-1537
Phone (502) 254-1100

Other practice location 2

285 N Hubbards Ln Ste 300
Louisville, KY 40207-3217
Phone (502) 454-9122

Other identifiers 3

IdentifierTypeStateIssuer
7100465490MedicaidKY
046008867MedicaidIL
311054407MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170830001061 KY Practitioner - Optometry 3072575265 Reassigns benefits to 3 organizations
I20240826001571 MI Practitioner - Optometry 3072575265 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC CurrentSince May 1, 2021 Accepting new patients
SJMH Medical Practice-SMHC CurrentSince Aug 1, 2024 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 18, 2017 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
SJMH Medical Practice-SMHC CurrentSince Aug 1, 2024 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince May 1, 2021 Accepting new patients
Louisville Optometric Centers III, PSC CurrentSince Mar 1, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 18, 2017 Accepting new patients
Louisville Optometric Centers III, PSC Optometrist CurrentSince Mar 1, 2023 Accepting new patients
Midwest Eye Associates LLC Past Accepting new patients
Children's Brain Academy PastSince May 7, 2023 Accepting new patients
Abc Children's Eye Specialists PC Past Accepting new patients
Midwest Eye Associates, LLC Optometrist Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

2618 Ring Rd
Ste 108
Elizabethtown, KY 42701
Phone (270) 765-1128

1239 Woodland Dr
Ste 114
Elizabethtown, KY 42701
Phone (270) 506-4087

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

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

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

411 E Chestnut St
Louisville, KY 40202
Phone (502) 588-2330

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

301 E Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 852-0710

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

20555 Victor Pkwy
Livonia, MI 48152
Phone (734) 343-3925

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

Interoperability endpoints

  • Direct secure messaging: nsilvestros3517038@direct.trinity-health.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1730129537",
    "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": "502-813-8928",
            "fax_number": "502-456-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 POPLAR LEVEL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131524",
            "telephone_number": "502-459-2020",
            "fax_number": "024-569-1215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12951 Shelbyville Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402431537",
            "country_code": "US",
            "telephone_number": "502-254-1100",
            "fax_number": "502-254-7634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "285 N Hubbards Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402073217",
            "country_code": "US",
            "telephone_number": "502-454-9122",
            "fax_number": "502-895-3602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVESTROS",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2006006993",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2042DT",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100465490",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008867",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311054407",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.