Individual provider Active NPI

John Murray Adams, O.D.

  • Optometrist
  • Owensboro, KY
National Provider Identifier
1730191602
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1576DT Issued in KY
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.

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 6 clinicians

Practice addresses (Care Compare)

411 Park Plaza Dr
Owensboro, KY 42301-5449
Phone (270) 683-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
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

LicenseStateTypeSpecialty
1576DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Eye Care, PLLC Optometrist CurrentSince Sep 1, 2006 Accepting new patients
Roger I Jones, O.D. LLC Optometrist CurrentSince Jul 13, 2009 Accepting new patients
Ohio Valley Eye Institute Optometrist Past Accepting new patients
Ohio Valley Eye Institute P C Optometrist PastSince Sep 1, 1998 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)CodeLicenseStatePrimary
Optometrist 152W00000X 1576DT KY Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
77001089MedicaidKY

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

Verify at the official NPI Registry.