Dennis Northenor, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

821DT Issued in KY

Practice address

3563 Springhurst Blvd.
Louisville, KY 40241

Phone

(502) 339-7323

Fax

(502) 412-7331

NPI assigned

Dec 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ky Doctors of Optometry, PLLC

  • Eyewear Supplier
  • Lexington, KY
  • NPI 1255415410
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1962567511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3563 SPRINGHURST BLVD.",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40241",
            "telephone_number": "502-339-7323",
            "fax_number": "502-412-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3563 SPRINGHURST BLVD.",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40241",
            "telephone_number": "502-339-7323",
            "fax_number": "502-412-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHENOR",
        "first_name": "DENNIS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "0821DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "821DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77008217",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia L. Northcutt, CRNA
• Rebecca Louise Northcutt
• Northeast Cardiology PLLC
• Northeast Christian Church
• Northeast Open MRI Center
• Brooklynn Mae Northern, OTD
• Alan Patrick Northington, M.D.
• Janel Northington
• Sabrina Marie Northington, BSW
• Northstar Anesthesia of Kentucky Pain PLLC

• All providers in Louisville, KY
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.