Individual provider Active NPI

Kathryn Grace Robbins, O.D.

  • Optometrist
  • Lexington, KY
National Provider Identifier
1992705636
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1638DT Issued in KY
Practice address
1555 E New Circle Rd
Suite #146
Lexington, KY 40509-1043
Phone
(859) 269-6921
Fax
(859) 266-9504
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1638DT KY Primary

Addresses

Primary practice location

1555 E New Circle Rd
Suite #146
Lexington, KY 40509-1043

Mailing address

1555 E New Circle Rd
Suite #146
Lexington, KY 40509-1043
Phone (859) 269-6921

Other names 1

  • Kathryn Grace Stocke Former name

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
I20051027000050 KY Practitioner - Optometry 8325065584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1555 E New Circle Rd
Suite 146
Lexington, KY 40509-1044
Phone (859) 269-6921

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1638KYMDMental Health Counselor
1638DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Klecker Optometrist CurrentSince Oct 31, 2011 Accepting new patients
Casak Woodhill LLC PastSince Oct 31, 2011 Accepting new patients

Locations

1555 E New Circle Rd
Ste 146
Lexington, KY 40509
Phone (859) 266-3003

Organizations & group practices 2

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1992705636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 E NEW CIRCLE RD",
            "address_2": "SUITE #146",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091043",
            "telephone_number": "859-269-6921",
            "fax_number": "859-266-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 E NEW CIRCLE RD",
            "address_2": "SUITE #146",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091043",
            "telephone_number": "859-269-6921",
            "fax_number": "859-266-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "KATHRYN",
        "middle_name": "GRACE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1638DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "STOCKE",
            "middle_name": "GRACE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.