Individual provider Active NPI

Benjamin Paxton

  • Optometrist
  • Louisville, KY
National Provider Identifier
1871021840
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2060DT Issued in KY
Practice address
7635 Shelbyville Rd
Louisville, KY 40222-5409
Phone
(502) 423-8500
NPI assigned
Jun 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 2060DT KY Primary

Addresses

Primary practice location

7635 Shelbyville Rd
Louisville, KY 40222-5409

Mailing address

3016 Callaway Dr
Jeffersonville, IN 47130-7528

Other practice location 1

1917 S Highway 53
LA Grange, KY 40031-8574
Phone (502) 225-0301

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
I20170720001626 KY Practitioner - Optometry 4880964063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gaddie Eye Centers LLCGroup PAC ID 6103898895, 8 clinicians

Practice addresses (Care Compare)

7635 Shelbyville Rd
Louisville, KY 40222-5409
Phone (502) 423-8500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2060DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gaddie Eye Centers, LLC Optometrist CurrentSince Jul 13, 2017 Accepting new patients

Locations

1917 S Highway 53
Lagrange, KY 40031
Phone (502) 225-0301

9850 Von Allmen Ct
Ste 105
Louisville, KY 40241
Phone (502) 429-3630

7635 Shelbyville Rd
Louisville, KY 40222
Phone (502) 371-4904

Interoperability endpoints

  • Direct secure messaging: benjamin.paxton@direct.revolutionehr.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": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1871021840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 CALLAWAY DR",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471307528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7635 SHELBYVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225409",
            "telephone_number": "502-423-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1917 S Highway 53",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "KY",
            "postal_code": "400318574",
            "country_code": "US",
            "telephone_number": "502-225-0301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAXTON",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2060DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.