Individual provider Active NPI

Austin Brian, OD

  • Optometrist
  • Louisville, KY
National Provider Identifier
1932947066
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2389DT Issued in KY
Practice address
11809 Standiford Plaza Dr Ste 1
Louisville, KY 40229-5907
Phone
(502) 964-9400
NPI assigned
Jul 15, 2024
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2389DT KY Primary

Addresses

Primary practice location

11809 Standiford Plaza Dr Ste 1
Louisville, KY 40229-5907

Mailing address

4000 Poplar Level Rd
Louisville, KY 40213-1524
Phone (502) 459-2020

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
I20240805003702 KY Practitioner - Optometry 3476090606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6812 Dixie Hwy
Louisville, KY 40258-3914
Phone (502) 933-7986

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2389DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Optometric Centers III, PSC Optometrist CurrentSince Jul 22, 2024 Accepting new patients
Louisville Optometric Centers III, PSC CurrentSince Jul 22, 2024 Accepting new patients
Louisville Optometric Centers III, PSC CurrentSince Jul 21, 2024 Accepting new patients
Louisville Optometric Centers, III PSC Optometrist Past Accepting new patients

Locations

11809 Standiford Plaza Dr
#1
Louisville, KY 40229

11809 Standiford Plaza Dr
Ste 1
Louisville, KY 40229
Phone (502) 964-9400

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

5023 Mud Ln
Ste 110
Louisville, KY 40229
Phone (502) 964-9400

6812 Dixie Hwy
Louisville, KY 40258
Phone (502) 423-8500

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, 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": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1932947066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 POPLAR LEVEL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131524",
            "telephone_number": "502-459-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11809 STANDIFORD PLAZA DR STE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295907",
            "telephone_number": "502-964-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIAN",
        "first_name": "AUSTIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2389DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.