Active NPI
Marcus Love, OD
- Optometrist
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 09460DT
- Practice address
- 2312 Sir Barton Way Ste 170
Lexington, KY 40509-2266 - Phone
- (859) 543-8383
- Fax
- (859) 264-9734
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 09460DT | KY | Primary |
Addresses
Primary practice location
2312 Sir Barton Way Ste 170
Lexington, KY 40509-2266
Mailing address
11103 West Ave
Suite 6
San Antonio, TX 78213-1370
Phone (210) 524-6663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77000123 | Medicaid | KY |
Organizations & group practices 23
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.
-
- Eyewear Supplier
- Lexington, KY
- NPI 1255415410
-
- Eyewear Supplier
- Florence, KY
- NPI 1083160915
-
- Eyewear Supplier
- Louisville, KY
- NPI 1205919099
-
- Eyewear Supplier
- Bowling Green, KY
- NPI 1306920632
-
- Eyewear Supplier
- Lexington, KY
- NPI 1407930712
-
- Eyewear Supplier
- Louisville, KY
- NPI 1417384207
-
- Eyewear Supplier
- Elizabethtown, KY
- NPI 1427131176
-
- Eyewear Supplier
- Paducah, KY
- NPI 1477637726
-
- Eyewear Supplier
- Hopkinsville, KY
- NPI 1477924884
-
- Eyewear Supplier
- Richmond, KY
- NPI 1538309919
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ky Doctors of Optometry, PLLC
Practice addresses (Care Compare)
2312 Sir Barton Way
Suite 170
Lexington, KY 40509-2266
Phone (859) 543-8383
3695 Nicholasville Rd
Suite 150
Lexington, KY 40503-4493
Phone (859) 273-4443
500 Winchester Ave
Suite 810
Ashland, KY 41101-7362
Phone (606) 324-3672
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 |
|---|---|---|---|---|
| I20050524000926 | KY | Practitioner - Optometry | 1052353653 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09460DT | KY | MD | Optometrist |
| 0946 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ky Doctors of Optometry, PLLC | Optometrist | Current | Accepting new patients |
| Ky Doctors of Optometry, PLLC | Past | Accepting new patients | |
| Ky Doctors of Optometry, PLLC | Optometrist | Past | Accepting new patients |
Locations
4655 Outer Loop
Louisville, KY 40219
Phone (502) 966-2020
7815 Preston Hwy
Louisville, KY 40219
Phone (502) 966-2020
175 E Houston St
San Antonio, TX 78205
Phone (210) 524-6982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992860738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11103 WEST AVE",
"address_2": "SUITE 6",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131370",
"telephone_number": "210-524-6663",
"fax_number": "210-524-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2312 SIR BARTON WAY STE 170",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092266",
"telephone_number": "859-543-8383",
"fax_number": "859-264-9734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "MARCUS",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "09460DT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77000123",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.