Individual provider Active NPI

Ada Iris Sanchez Juan, O.D.

  • Optometrist
  • Lexington, KY
National Provider Identifier
1861982241
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2113DT Issued in KY
Practice address
2250 Leestown Rd
Lexington, KY 40511
Phone
(859) 233-4511
NPI assigned
May 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2113DT KY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2250 Leestown Rd
Lexington, KY 40511

Mailing address

7819 Lariat Rd
Louisville, KY 40219-2980
Phone (502) 379-7150

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ada.sanchezjuan.od@direct.have2020.nextgenshare.com Direct

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
I20180919002761 KY Practitioner - Optometry 0244581965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

102 Diagnostic Dr
Frankfort, KY 40601-6524
Phone (502) 223-8258

Merit-based Incentive Payment System (MIPS)

Final score
91.8 of 100Reported as group
Quality
93.82
Promoting interoperability
100
Improvement activities
40
Cost
78.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2113DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ky Doctors of Optometry, PLLC Optometrist Current Accepting new patients
Eye Associates of Southern Indiana PC Optometrist CurrentSince Jun 1, 2019 Accepting new patients
Eye Associates of Southern Indiana PC Optometrist CurrentSince Jun 1, 2019 Accepting new patients
Eye Associates of Southern Indiana PC Optometrist Past Accepting new patients

Locations

302 W 14th St
#100A
Jeffersonvlle, IN 47130

302 W 14th St
Jeffersonvlle, IN 47130
Phone (502) 426-0307

102 Diagnostic Dr
Frankfort, KY 40601
Phone (502) 223-8258

1102 Lyndon Ln
Ste A
Louisville, KY 40222
Phone (502) 426-0307

Interoperability endpoints

  • Direct secure messaging: ada.sanchezjuan.od@direct.have2020.nextgenshare.com

Organizations & group practices 4

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": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1861982241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7819 LARIAT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402192980",
            "telephone_number": "502-379-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 LEESTOWN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40511",
            "telephone_number": "859-233-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ JUAN",
        "first_name": "ADA",
        "middle_name": "IRIS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2113DT",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ada.sanchezjuan.od@direct.have2020.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Provider Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Provider Direct Email Address",
            "address_1": "302 W 14th St",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471303751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.