Individual provider Active NPI

Matthew L Dugger, O.D.

  • Optometrist
  • Shelbyville, KY
National Provider Identifier
1932361367
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1740DT Issued in KY
Practice address
1627 Midland TRL
Shelbyville, KY 40065
Phone
(502) 633-2985
Fax
(502) 647-0327
NPI assigned
Jun 26, 2008
Last updated
Jun 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 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 1740DT KY Primary

Addresses

Primary practice location

1627 Midland TRL
Shelbyville, KY 40065

Mailing address

1627 Midland TRL
Shelbyville, KY 40065-1638
Phone (502) 633-2985

Other practice location 1

2110 S Hurstbourne Pkwy
Louisville, KY 40220-1622
Phone (502) 491-2232

Other identifiers 1

IdentifierTypeStateIssuer
1740DTOtherKYKY LICENSE

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
I20100628000080 KY Practitioner - Optometry 4789749763 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ky Doctors of Optometry, PLLCGroup PAC ID 0941108732, 64 clinicians

Practice addresses (Care Compare)

1001 Breckenridge LN
Louisville, KY 40207-4697
Phone (502) 893-2015

1028 N College St
Suite 8B
Harrodsburg, KY 40330-2227
Phone (859) 605-2214

1609 N Dixie Ave
Suite 100
Elizabethtown, KY 42701-7494
Phone (270) 765-7372

450 Connector Rd
Georgetown, KY 40324-9729
Phone (502) 868-9870

500 Winchester Ave
Suite 810
Ashland, KY 41101-7362
Phone (606) 324-3672

68 Wellness LN
One Town Square
Campbellsville, KY 42718-7650
Phone (270) 469-4393

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1740DTKYMDOptometrist
1517SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Optometric Centers III, PSC Optometrist CurrentSince Jun 4, 2018 Accepting new patients
MLD Eyecare Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Louisville Optometric Centers III, PSC CurrentSince Jun 4, 2018 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Village Optical LLC Optometrist Past Accepting new patients

Locations

1028 N College St
Ste 8B
Harrodsburg, KY 40330
Phone (859) 605-2214

2110 S Hurstbourne Pkwy
Louisville, KY 40220
Phone (502) 491-2232

4000 Poplar Level Rd
Louisville, KY 40213
Phone (502) 456-1004

1627 Midland Trl
Shelbyville, KY 40065
Phone (502) 633-2985

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1932361367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 MIDLAND TRL",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651638",
            "telephone_number": "502-633-2985",
            "fax_number": "502-647-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 MIDLAND TRL",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "40065",
            "telephone_number": "502-633-2985",
            "fax_number": "502-647-0327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 S Hurstbourne Pkwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402201622",
            "country_code": "US",
            "telephone_number": "502-491-2232",
            "fax_number": "502-499-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGGER",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1740DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY LICENSE",
            "identifier": "1740DT",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

Verify at the official NPI Registry.