Active NPI
Louisa Eye Care, PLLC
- Optometrist
- Louisa, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1701DT
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Louisa Eye Care PLLC | Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.