Active NPI
John Murray Adams, O.D.
- Optometrist
- Owensboro, KY
National Provider Identifier
1730191602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1576DT
- Practice address
- 411 Park Plaza Dr
Owensboro, KY 42301-5449 - Phone
- (270) 683-2020
- Fax
- (270) 686-0000
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
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.
-
- Optometrist
- Owensboro, KY
- NPI 1912145962
-
- Optometrist
- Henderson, KY
- NPI 1558584748
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advantage Eye Care PLLC
Practice addresses (Care Compare)
411 Park Plaza Dr
Owensboro, KY 42301-5449
Phone (270) 683-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040213000108 | KY | Practitioner - Optometry | 0749174340 | Reassigns benefits to 1 organization |
| I20230412003129 | IN | Practitioner - Optometry | 0749174340 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1576DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Eye Care, PLLC | Optometrist | Current | Accepting new patients |
| Roger I Jones, O.D. LLC | Optometrist | Current | Accepting new patients |
| Ohio Valley Eye Institute | Optometrist | Past | Accepting new patients |
| Ohio Valley Eye Institute P C | Optometrist | Past | Accepting new patients |
Locations
102 N 6th St
Rockport, IN 47635
Phone (270) 683-2020
411 Park Plaza Dr
Owensboro, KY 42301
Phone (270) 683-2020
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1576DT | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
411 Park Plaza Dr
Owensboro, KY 42301-5449
Mailing address
411 Park Plaza Dr
Owensboro, KY 42301-5449
Phone (270) 683-2020
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77001089 | Medicaid | KY |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2010.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280361600000",
"number": "1730191602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 PARK PLAZA DR",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423015449",
"telephone_number": "270-683-2020",
"fax_number": "270-686-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 PARK PLAZA DR",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423015449",
"telephone_number": "270-683-2020",
"fax_number": "270-686-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JOHN",
"middle_name": "MURRAY",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2010-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1576DT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77001089",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.