Holly Raeann Koopman, OD | |
6812 Dixie Hwy, Louisville, KY 40258-3914 | |
(502) 933-7986 | |
(502) 933-2652 |
Full Name | Holly Raeann Koopman |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 9 Years |
Location | 6812 Dixie Hwy, Louisville, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851741425 | NPI | - | NPPES |
18004061A | Other | IN | INDIANA LICENSE NUMBER |
221390002 | Other | IN | INDIANA MEDICARE |
7100492340 | Medicaid | KY | |
K249890 | Other | KY | KENTUCKY MEDICARE |
2017DT | Other | KY | KENTUCKY LIENSE |
2017DT | Other | KY | KENTUCKY LICENSE NUMBER |
PENDING | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18004061A (Indiana) | Secondary |
152W00000X | Optometrist | 2017DT (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Louisville Optometric Centers Iii, Psc | 8729041926 | 33 |
Louisville Optometric Centers Iii, Psc | 8729041926 | 33 |
Provider Name | Louisville Optometric Centers Iii, Psc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134111271 PECOS PAC ID: 8729041926 Enrollment ID: O20041109000487 |
Mailing Address | Practice Location Address |
---|---|
Holly Raeann Koopman, OD 4000 Poplar Level Rd, Louisville, KY 40213-1524 Ph: (502) 813-8928 | Holly Raeann Koopman, OD 6812 Dixie Hwy, Louisville, KY 40258-3914 Ph: (502) 933-7986 |
Dr. Andrew Morgan Harvey, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12406 La Grange Rd Ste 202, Louisville, KY 40245 Phone: 502-243-3733 Fax: 502-243-3734 | |
Laura Lea Bassett, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7635 Shelbyville Rd, Louisville, KY 40222 Phone: 502-423-8500 Fax: 502-584-2365 | |
Dr. Fiona S Boak, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3706 Diann Marie Rd, Louisville, KY 40241 Phone: 502-326-3114 Fax: 502-326-9751 | |
Todd F Lewis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5338 S 3rd St, Louisville, KY 40214 Phone: 502-366-4530 Fax: 502-366-4590 | |
Dr. Richard Schuyler Roush, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7900 Shelbyville Rd Ste A15, Louisville, KY 40222 Phone: 502-327-8568 Fax: 502-327-0613 | |
Eye Care For Kids, Ltd Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3703 Taylorsville Rd, Sutie 120, Louisville, KY 40220 Phone: 502-451-5437 Fax: 502-451-5141 | |
Dr. Sara L Pourheydarian, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4000 Poplar Level Rd, Louisville, KY 40213 Phone: 502-459-2020 Fax: 502-456-9121 |