Individual provider Active NPI

Corri Collins Dixon, OD

  • Optometrist
  • Richmond, KY
National Provider Identifier
1760091680
Registry record updated Sep 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2180 Issued in KY
Practice address
1020 Gibson Bay Dr
Richmond, KY 40475-3448
Phone
(859) 623-3358
Fax
(859) 623-8141
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2180 KY Primary

Addresses

Primary practice location

1020 Gibson Bay Dr
Richmond, KY 40475-3448

Mailing address

1020 Gibson Bay Dr
Richmond, KY 40475-3448
Phone (859) 623-8141

Other names 1

  • Corri Grace Collins Former name

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
I20220114001575 KY Practitioner - Optometry 6204228604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Center Optometrist PSCGroup PAC ID 0143133058, 7 clinicians
HH-Ecc LLCGroup PAC ID 8022368885, 9 clinicians

Practice addresses (Care Compare)

1020 Gibson Bay Dr
Richmond, KY 40475-3448
Phone (859) 623-3358

238 Geri LN
Richmond, KY 40475-2304
Phone (859) 623-2020

Merit-based Incentive Payment System (MIPS)

Final score
91.57 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2180KYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Center Optometrist PSC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
HH-Ecc LLC CurrentSince Jan 10, 2024 Accepting new patients
Eyecare Center Optometrist PSC Optometrist Past Accepting new patients

Locations

4235 Richmond Rd
Irvine, KY 40336
Phone (606) 726-9321

148 Malabu Dr
Ste 150
Lexington, KY 40503
Phone (859) 272-2449

100 Fortress Properties St
Ste 1
London, KY 40741
Phone 6068771877114

238 Geri Ln
Richmond, KY 40475
Phone (859) 623-2020

1020 Gibson Bay Dr
Richmond, KY 40475
Phone (606) 464-8148

2580 Bypass Rd
Winchester, KY 40391
Phone (606) 745-3060

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": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696032000000",
    "number": "1760091680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 GIBSON BAY DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753448",
            "telephone_number": "859-623-8141",
            "fax_number": "859-623-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 GIBSON BAY DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753448",
            "telephone_number": "859-623-3358",
            "fax_number": "859-623-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "CORRI",
        "middle_name": "COLLINS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORRI",
            "last_name": "COLLINS",
            "middle_name": "GRACE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.