Active NPI
John Clarence Hinely, OD
- Optometrist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2277DT
- Practice address
- 4000 Poplar Level Rd
Louisville, KY 40213-1524 - Phone
- (502) 459-2020
- NPI assigned
- Jun 30, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2277DT | KY | Primary |
Addresses
Primary practice location
4000 Poplar Level Rd
Louisville, KY 40213-1524
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221206002281 | KY | Practitioner - Optometry | 5092184564 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Louisville Optometric Centers III, PSC
Practice addresses (Care Compare)
12951 Shelbyville Rd
Louisville, KY 40243-1537
Phone (502) 459-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2277DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisville Optometric Centers III, PSC | Optometrist | Current | Accepting new patients |
| Louisville Optometric Centers III, PSC | Current | Accepting new patients | |
| Louisville Optometric Centers, III PSC | Optometrist | Past | Accepting new patients |
Locations
2110 S Hurstbourne Pkwy
Louisville, KY 40220
Phone (502) 491-2232
12951 Shelbyville Rd
Louisville, KY 40243
Phone (502) 254-1100
4000 Poplar Level Rd
Louisville, KY 40213
Phone (502) 456-1004
Organizations & group practices 20
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1972235596",
"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": "4000 POPLAR LEVEL RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402131524",
"telephone_number": "502-459-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINELY",
"first_name": "JOHN",
"middle_name": "CLARENCE",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-30",
"last_updated": "2022-06-30",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "2277DT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.