Individual provider Active NPI

Allyson Nicole Lane Rhodes, O.D.

  • Optometrist
  • Lexington, KY
National Provider Identifier
1982854717
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1744DT Issued in KY
Practice address
4051 Nicholasville Rd
Lexington, KY 40503
Phone
(859) 272-1422
Fax
(859) 273-4582
NPI assigned
Sep 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13648 CA
Optometrist 152W00000X 1744DT KY Primary

Addresses

Primary practice location

4051 Nicholasville Rd
Lexington, KY 40503

Mailing address

4051 Nicholasville Rd
Lexington, KY 40503-4433
Phone (859) 272-1422

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
I20100427000467 KY Practitioner - Optometry 5092842849 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13648CAMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Max PLLC Optometrist CurrentSince Apr 5, 2010 Accepting new patients

Locations

4051 Nicholasville Rd
Lexington, KY 40503
Phone (859) 272-1422

500 W New Circle Rd
Lexington, KY 40511
Phone (859) 225-4657

1024 N Main St
Nicholasville, KY 40356
Phone (859) 241-2148

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.

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1982854717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 NICHOLASVILLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405034433",
            "telephone_number": "859-272-1422",
            "fax_number": "859-273-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 NICHOLASVILLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40503",
            "telephone_number": "859-272-1422",
            "fax_number": "859-273-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "ALLYSON",
        "middle_name": "NICOLE LANE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13648",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1744DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.