Organization Active NPI

Louisa Eye Care, PLLC

  • Optometrist
  • Louisa, KY
National Provider Identifier
1821474552
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1701DT Issued in KY
Legal business name
LOUISA EYE CARE, PLLC
Practice address
112 S Vinson Ave
Louisa, KY 41230-1155
Phone
(606) 638-4731
Fax
(606) 638-3523
NPI assigned
Aug 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Dr. Elaine N. Desario, O.D.NPI 1508065418
Title
Optometrist
Phone
(606) 638-4731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1701DT KY Primary

Addresses

Primary practice location

112 S Vinson Ave
Louisa, KY 41230-1155

Mailing address

58 Westmont Dr
Louisa, KY 41230-6000
Phone (606) 638-4731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150910000997 KY Part B Supplier - Clinic/Group Practice 4385951250 Receives reassigned benefits from 2 practitioners
Practice locations: Louisa, KY
O20151120000332 KY DME Supplier - Physician - Optometrist 4385951250 Practice locations: Louisa, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Louisa Eye Care PLLC112 S Vinson Ave, Louisa, KY 41230(606) 638-4731 Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Aug 13, 2015

National Provider Directory

National Provider Directory

Locations

112 S Vinson Ave
Louisa, KY 41230
Phone (606) 638-4731

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1821474552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 WESTMONT DR",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412306000",
            "telephone_number": "606-638-4731",
            "fax_number": "606-638-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S VINSON AVE",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412301155",
            "telephone_number": "606-638-4731",
            "fax_number": "606-638-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISA EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "DESARIO",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "606-638-4731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1701DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.