Individual provider Active NPI

Bobby L Huynh, O.D.

  • Optometrist
  • Lexington, KY
National Provider Identifier
1801529284
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2279DT Issued in KY
Practice address
340 Meijer Way
Lexington, KY 40503-3340
Phone
(859) 278-2020
NPI assigned
Jul 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2279DT KY Primary

Addresses

Primary practice location

340 Meijer Way
Lexington, KY 40503-3340

Mailing address

340 Meijer Way
Lexington, KY 40503-3340
Phone (859) 278-2020

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
I20230306002153 KY Practitioner - Optometry 9931572328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simpson Optical PLLCGroup PAC ID 6406847029, 10 clinicians

Practice addresses (Care Compare)

340 Meijer Way
Lexington, KY 40503-3340
Phone (859) 278-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2279DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Simpson Optical PLLC Optometrist CurrentSince Nov 22, 2022 Accepting new patients
Kiosk Medicine Kentucky LLC Past Accepting new patients

Locations

4101 Tates Creek Centre Dr
Ste 142
Lexington, KY 40517
Phone (859) 245-3332

989 Governors Ln
Ste 180
Lexington, KY 40513
Phone (859) 554-8265

340 Meijer Way
Lexington, KY 40503
Phone (859) 278-0055

Organizations & group practices 2

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1801529284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MEIJER WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033340",
            "telephone_number": "859-278-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MEIJER WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033340",
            "telephone_number": "859-278-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "BOBBY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2279DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.