Organization Active NPI

Middletown Eye Physicians, PLC

  • Ophthalmology Physician
  • Louisville, KY
National Provider Identifier
1861672362
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25403 Issued in KY
Legal business name
MIDDLETOWN EYE PHYSICIANS, PLC
Practice address
13324 Shelbyville Rd
Louisville, KY 40223-3936
Phone
(502) 245-0305
Fax
(502) 254-1425
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Frank R Burns, MDNPI 1881703924
Title
President
Phone
(502) 245-0305

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 25403 KY Primary

Addresses

Primary practice location

13324 Shelbyville Rd
Louisville, KY 40223-3936

Mailing address

13324 Shelbyville Rd
Louisville, KY 40223-3936
Phone (502) 245-0305

Other identifiers 1

IdentifierTypeStateIssuer
180025692OtherKYRAILROAD MEDICARE

Other names 1

  • Middletown Eye Physicians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050627001043 KY Part B Supplier - Clinic/Group Practice 5294770558 Receives reassigned benefits from 2 practitioners
Practice locations: Louisville, KY
O20210621001055 IN Part B Supplier - Clinic/Group Practice 5294770558 Receives reassigned benefits from 1 practitioner
Practice locations: Jeffersonville, IN

National Provider Directory

National Provider Directory

Locations

150 Brooks Way
Ste 4
Brooks, KY 40109
Phone (502) 245-0305

5135 Dixie Hwy
Ste 15
Louisville, KY 40216
Phone (502) 447-7315

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": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1861672362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13324 SHELBYVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233936",
            "telephone_number": "502-245-0305",
            "fax_number": "502-254-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13324 SHELBYVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233936",
            "telephone_number": "502-245-0305",
            "fax_number": "502-254-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN EYE PHYSICIANS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-245-0305",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "25403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180025692",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middletown Eye Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.