Individual provider Active NPI

Rebecca Schleter Harris, O.D.

  • Optometrist
  • Harrodsburg, KY
National Provider Identifier
1851521041
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1787DT Issued in KY
Practice address
125 Collin Dr
Harrodsburg, KY 40330-1168
Phone
(859) 734-2020
Fax
(859) 734-3695
NPI assigned
Jul 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1787DT KY Primary

Addresses

Primary practice location

125 Collin Dr
Harrodsburg, KY 40330-1168

Mailing address

125 Collin Dr
Harrodsburg, KY 40330-1168
Phone (859) 734-2020

Other practice location 1

149 Frankfort St
Versailles, KY 40383-1121
Phone (859) 873-7805

Other identifiers 1

IdentifierTypeStateIssuer
7100142760MedicaidKY

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
I20101115000443 KY Practitioner - Optometry 8527193226 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Danville Eye Center, PLLC Optometrist CurrentSince Sep 1, 2017 Accepting new patients
Helderman & Jacobs Vison Center, PLLC Past Accepting new patients

Locations

104 Smoky Way
Ste 100
Danville, KY 40422
Phone (859) 236-8644

125 Collin Dr
Harrodsburg, KY 40330
Phone (859) 734-2020

Interoperability endpoints

  • Direct secure messaging: rebecca.harris.p1@direct.kyeyeinst.nextgenshare.com

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": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1851521041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COLLIN DR",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403301168",
            "telephone_number": "859-734-2020",
            "fax_number": "859-734-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COLLIN DR",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403301168",
            "telephone_number": "859-734-2020",
            "fax_number": "859-734-3695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 Frankfort St",
            "address_purpose": "LOCATION",
            "city": "Versailles",
            "state": "KY",
            "postal_code": "403831121",
            "country_code": "US",
            "telephone_number": "859-873-7805",
            "fax_number": "859-873-9653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "REBECCA",
        "middle_name": "SCHLETER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1787DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100142760",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrodsburg, KY

Sources for this page

Verify at the official NPI Registry.