Individual provider Active NPI

Lee Stanley Peplinski, OD

  • Optometrist
  • Louisville, KY
National Provider Identifier
1831173988
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1231DT Issued in KY
Practice address
1935 Bluegrass Ave
Ste 200
Louisville, KY 40215-1179
Phone
(502) 895-0040
Fax
(502) 361-4488
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1231DT KY Primary

Addresses

Primary practice location

1935 Bluegrass Ave
Ste 200
Louisville, KY 40215-1179

Mailing address

1935 Bluegrass Ave
Ste 200
Louisville, KY 40215-1179
Phone (502) 895-0040

Other identifiers 2

IdentifierTypeStateIssuer
77012318MedicaidKY
200111630MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210908002950 TX Practitioner - Optometry 4486770666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Snip and Ference, PAGroup PAC ID 1850365057, 6 clinicians

Practice addresses (Care Compare)

4775 Hamilton Wolfe
BLDG 2
San Antonio, TX 78229-3456
Phone (210) 614-3600

Merit-based Incentive Payment System (MIPS)

Final score
98.17 of 100Reported as group
Quality
96.34
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1231DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Snip & Ference, PA CurrentSince Jun 5, 2021 Accepting new patients

Locations

4775 Hamilton Wolfe Rd
Ste 2
San Antonio, TX 78229
Phone (210) 614-3600

Interoperability endpoints

  • Direct secure messaging: lpeplinsi@focalpointvision.emadirect.md
  • Direct secure messaging: peplinski@bennettbloomeyecenters.imwdirect.com

Organizations & group practices 1

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1831173988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 BLUEGRASS AVE",
            "address_2": "STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151179",
            "telephone_number": "502-895-0040",
            "fax_number": "502-361-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 BLUEGRASS AVE",
            "address_2": "STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151179",
            "telephone_number": "502-895-0040",
            "fax_number": "502-361-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPLINSKI",
        "first_name": "LEE",
        "middle_name": "STANLEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1231DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77012318",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200111630",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.