Thomas G Abell III, OD

Individual provider Active NPI Optometrist · Campbellsville, KY

NPI 1942833397 · NPPES record last updated Sep 16, 2020

Key facts

NPI
1942833397
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
2198DT (KY)
Practice address
1800 Old Lebanon Rd
Campbellsville, KY 42718-9663
Phone
(270) 789-2023
Fax
(270) 465-5361
NPI assigned
Feb 13, 2020
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amedco Kentucky PLLC (4 clinicians)

Practice addresses (Care Compare)

1800 Old Lebanon Rd
Campbellsville, KY 42718-9663
Phone (270) 789-2023

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100 (individual)
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200911001099 KY Practitioner - Optometry 1355769027 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Amedco Kentucky PLLC Optometrist Current
since Nov 1, 2020
Accepting new patients

Locations

1800 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-5361

2720 Old Rosebud Rd
Ste 110
Lexington, KY 40509
Phone (859) 373-0300

Interoperability endpoints

  • Direct secure messaging: ta@abelleyes.direct.eyemdemr.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2198DT KY Yes

Addresses

Primary practice location

1800 Old Lebanon Rd
Campbellsville, KY 42718-9663

Mailing address

2720 Old Rosebud Rd Ste 110
Lexington, KY 40509-8005
Phone (859) 373-3000

Other practice location 1

2720 Old Rosebud Rd Ste 110
Lexington, KY 40509-8005
Phone (859) 373-0300

Other identifiers

IdentifierTypeStateIssuer
7100691710MedicaidKY

Other providers in Campbellsville, KY

All providers in Campbellsville, KY · Optometrist in Kentucky

Sources for this page

Verify at the official NPI Registry.