Individual provider Active NPI

Ashley Brooke Lane, O.D.

  • Optometrist
  • Lexington, KY
National Provider Identifier
1760612527
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1766DT Issued in KY
Practice address
3735 Palomar Centre Dr Ste 170
Lexington, KY 40513-1121
Phone
(859) 271-2020
Fax
(859) 271-2027
NPI assigned
Jul 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1766DT KY Primary

Addresses

Primary practice location

3735 Palomar Centre Dr Ste 170
Lexington, KY 40513-1121

Mailing address

3735 Palomar Centre Dr Ste 170
Lexington, KY 40513-1121
Phone (859) 271-2020

Other identifiers 1

IdentifierTypeStateIssuer
7100085310MedicaidKY

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
I20090921000054 KY Practitioner - Optometry 6002962891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Gary E. King Optometrist PSC 5 clinicians

Practice addresses (Care Compare)

854 Ridgewood Dr
Berea, KY 40403-9814
Phone (859) 986-7027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Gary E. King Optometrist PSC CurrentSince Oct 1, 2020 Accepting new patients
Dr Polly Hendricks & Associates, LLC Optometrist PastSince Dec 1, 2008 Accepting new patients
Baptist Healthcare System Inc Past Accepting new patients

Locations

854 Ridgewood Dr
Berea, KY 40403
Phone (606) 666-9393

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": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1760612527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 PALOMAR CENTRE DR STE 170",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131121",
            "telephone_number": "859-271-2020",
            "fax_number": "859-271-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 PALOMAR CENTRE DR STE 170",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131121",
            "telephone_number": "859-271-2020",
            "fax_number": "859-271-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "ASHLEY",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1766DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100085310",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.