Individual provider Active NPI

Noemi Montalvo, OD

  • Optometrist
  • Louisville, KY
National Provider Identifier
1740345388
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1439DT Issued in KY
Practice address
7815 Preston Hwy
Louisville, KY 40219-3140
Phone
(502) 966-2020
Fax
(502) 966-2099
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1439DT KY Primary

Addresses

Primary practice location

7815 Preston Hwy
Louisville, KY 40219-3140

Mailing address

11103 West Ave
Suite 6
San Antonio, TX 78213-1370
Phone (210) 524-6663

Other identifiers 1

IdentifierTypeStateIssuer
77000214MedicaidKY

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
I20100818000221 KY Practitioner - Optometry 2860526423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ky Doctors of Optometry, PLLCGroup PAC ID 0941108732, 64 clinicians

Practice addresses (Care Compare)

4655 Outer Loop
Louisville, KY 40219-3970
Phone (502) 966-2020

500 Winchester Ave
Suite 810
Ashland, KY 41101-7362
Phone (606) 324-3672

5224 Dixie Hwy
Louisville, KY 40216-1704
Phone (502) 449-2080

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1439DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Doctors of Optometrist CurrentSince Sep 2, 2015 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients

Locations

7727 Mall Rd
Ste B
Florence, KY 41042
Phone (859) 282-1751

1001 Breckenridge Ln
Louisville, KY 40207
Phone (502) 893-2015

13210 Shelbyville Rd
Ste 101
Louisville, KY 40223
Phone (502) 244-9198

4655 Outer Loop
Louisville, KY 40219
Phone (502) 966-2020

7945 Bardstown Rd
Louisville, KY 40291
Phone (502) 231-4061

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

3571 Springhurst Blvd
Louisville, KY 40241
Phone (502) 339-7323

100 W Market St
Louisville, KY 40202
Phone (502) 587-8488

5224 Dixie Hwy
Louisville, KY 40216
Phone (502) 449-2080

Organizations & group practices 3

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740345388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVE",
            "address_2": "SUITE 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131370",
            "telephone_number": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402193140",
            "telephone_number": "502-966-2020",
            "fax_number": "502-966-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "NOEMI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1439DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77000214",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.