Individual provider Active NPI

Blake Hayden, O.D.

  • Optometrist
  • Frankfort, KY
National Provider Identifier
1831642230
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2018DT Issued in KY
Practice address
100 Diagnostic Dr
Frankfort, KY 40601-6524
Phone
(502) 875-9860
Fax
(502) 875-9887
NPI assigned
Aug 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2018DT KY Primary

Addresses

Primary practice location

100 Diagnostic Dr
Frankfort, KY 40601-6524

Mailing address

100 Diagnostic Dr
Frankfort, KY 40601-6524
Phone (502) 875-9860

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
I20161121002512 KY Practitioner - Optometry 4183903883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Eye Care PLLCGroup PAC ID 1153225859, 6 clinicians

Practice addresses (Care Compare)

411 Park Plaza Dr
Owensboro, KY 42301-5449
Phone (270) 683-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Eye Care, PLLC Optometrist CurrentSince Jun 1, 2020 Accepting new patients
Roger I Jones, O.D. LLC Optometrist CurrentSince Jun 1, 2020 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Current Accepting new patients

Locations

411 Park Plaza Dr
Owensboro, KY 42301
Phone (270) 683-2020

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": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1831642230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DIAGNOSTIC DR",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406016524",
            "telephone_number": "502-875-9860",
            "fax_number": "502-875-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DIAGNOSTIC DR",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406016524",
            "telephone_number": "502-875-9860",
            "fax_number": "502-875-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "BLAKE",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2018DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.