Wallace Bullard Guerrant Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1214DT Issued in KY

Practice address

3180 Richmond Rd
Lexington, KY 40509-1596

Phone

(859) 721-1827

Fax

(859) 335-1535

NPI assigned

Dec 18, 2006

Last updated

Mar 31, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Angela Costa LLCGroup PAC ID 6901068881, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wallace.guerrant.p1@direct.kyeyeinst.nextgenshare.com

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.

• Angela Costa, LLC

  • Optometrist
  • Lexington, KY
  • NPI 1780940361
  Medicare reassignment Care Compare group NPD
• DRS. Guerrant, Inc.

  • Optometrist
  • Mt Sterling, KY
  • NPI 1962605220
  NPD (past) Authorized official
• Guerrant Eye Clinic, PSC

  • Optometrist
  • Mt Sterling, KY
  • NPI 1932379633
  NPD (past) Authorized official
• Kentucky Institute for Eye Health & Surgery

  dba Kentucky Eye Institute

  • Durable Medical Equipment & Medical Supplies
  • Middlesboro, KY
  • NPI 1013015510
  NPD
• Kentucky Institute for Eye Health & Surgery

  dba Ky Eye Institute

  • Ophthalmology Physician
  • Cynthiana, KY
  • NPI 1316975352
  NPD
• Kentucky Institute for Eye Health & Surgery

  dba Kentucky Eye Institute

  • Ophthalmology Physician
  • Corbin, KY
  • NPI 1881636470
  NPD
• Ky Doctors of Optometry, PLLC

  dba KY Doctors of Optometry

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1275617276

  Optometrist

  NPD

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1982767364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 RICHMOND RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091596",
            "telephone_number": "859-721-1827",
            "fax_number": "859-335-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 RICHMOND RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091596",
            "telephone_number": "859-721-1827",
            "fax_number": "859-335-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRANT",
        "first_name": "WALLACE",
        "middle_name": "BULLARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1214DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100054840",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn G Guarnieri Price, DMD
• Mahathi Krishna Gudapati, MBBS
• Nicholas Hewitt Gudgel
• Zain Guduru, M.D.
• Nancy Lee Guerrant, OD
• Jordan Eugene Guest, LCSW
• Brian David Guetter, D.C.
• Mary Clare Guiglia, M.D.
• James Michael Guiler, MD
• Ashley Guiliani, APRN

• Optometrist in Lexington, KY
• Providers in Lexington, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.

Verify at the official NPI Registry.