| Ky Doctors Of Optometry | |
|
4655 Outer Loop, Louisville, KY 40219-3970 | |
| (502) 966-2020 | |
| (502) 966-2099 |
| Full Name | Ky Doctors Of Optometry |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4655 Outer Loop, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700890001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Charles Barrett Simpson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952410524 PECOS PAC ID: 7315832631 Enrollment ID: I20040217000212 |
| Provider Name | James A Luckett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417012204 PECOS PAC ID: 6901794031 Enrollment ID: I20040309000991 |
| Provider Name | Richard B Henderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669537528 PECOS PAC ID: 0941190755 Enrollment ID: I20040316001436 |
| Provider Name | James F Buckner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184771545 PECOS PAC ID: 5496728636 Enrollment ID: I20040817000210 |
| Provider Name | Steve R Lawrence |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144437203 PECOS PAC ID: 1850366261 Enrollment ID: I20040830000564 |
| Provider Name | Jason Eric Crockett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932300308 PECOS PAC ID: 6901857135 Enrollment ID: I20050204000711 |
| Provider Name | Aida I Badillo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528065612 PECOS PAC ID: 2365408275 Enrollment ID: I20050330000545 |
| Provider Name | Kari Carpenter Mattson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306891361 PECOS PAC ID: 1355398173 Enrollment ID: I20050405000123 |
| Provider Name | Marcus A Love |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992860738 PECOS PAC ID: 1052353653 Enrollment ID: I20050524000926 |
| Provider Name | Fiona S Boak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013045491 PECOS PAC ID: 0547205742 Enrollment ID: I20050630000014 |
| Provider Name | Carl G Stanis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780749275 PECOS PAC ID: 6608897335 Enrollment ID: I20051209000392 |
| Provider Name | Molly W Doerr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184605685 PECOS PAC ID: 1153335096 Enrollment ID: I20060131000529 |
| Provider Name | John D Roberts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730186131 PECOS PAC ID: 1153335575 Enrollment ID: I20060206000364 |
| Provider Name | David T Woody |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467583468 PECOS PAC ID: 2264446624 Enrollment ID: I20060206000679 |
| Provider Name | Michael J Morris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124072871 PECOS PAC ID: 6901818244 Enrollment ID: I20060703000049 |
| Provider Name | Tessa R Habash |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295774636 PECOS PAC ID: 0143223701 Enrollment ID: I20060821000397 |
| Provider Name | Lannie C Busey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063459972 PECOS PAC ID: 7214931021 Enrollment ID: I20060911000277 |
| Provider Name | Grant A Rubesh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619069796 PECOS PAC ID: 7517061856 Enrollment ID: I20070625000031 |
| Provider Name | Tiffany D Reed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396937850 PECOS PAC ID: 4183719693 Enrollment ID: I20070928000222 |
| Provider Name | Steven N Spear |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639234123 PECOS PAC ID: 8820185135 Enrollment ID: I20071102000680 |
| Provider Name | Rashid Omar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508921164 PECOS PAC ID: 4385733088 Enrollment ID: I20071204000043 |
| Provider Name | Paul E Robertson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396934485 PECOS PAC ID: 8325120306 Enrollment ID: I20080130000059 |
| Provider Name | Troy Coker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376545038 PECOS PAC ID: 9436245479 Enrollment ID: I20080505000431 |
| Provider Name | Mark Pulliam |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376608943 PECOS PAC ID: 1557434974 Enrollment ID: I20080718000066 |
| Provider Name | Keith A Roberts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356590525 PECOS PAC ID: 0547338832 Enrollment ID: I20081021000767 |
| Provider Name | Wallace B Guerrant |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982767364 PECOS PAC ID: 8022072883 Enrollment ID: I20090202000394 |
| Provider Name | Douglas M Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184789091 PECOS PAC ID: 4880759521 Enrollment ID: I20090212000737 |
| Provider Name | Kevin L Burt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295899318 PECOS PAC ID: 7911058466 Enrollment ID: I20090624000274 |
| Provider Name | Fred W Klutts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255496170 PECOS PAC ID: 6709937253 Enrollment ID: I20090624000300 |
| Provider Name | Kevin T Snead |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346305935 PECOS PAC ID: 8729139183 Enrollment ID: I20090624000478 |
| Provider Name | Dale A Souleyrette |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205991791 PECOS PAC ID: 7517018989 Enrollment ID: I20090624000512 |
| Provider Name | Michael Eger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699839613 PECOS PAC ID: 7315093200 Enrollment ID: I20090917000456 |
| Provider Name | Mark E Lynn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508937079 PECOS PAC ID: 1759289549 Enrollment ID: I20090917000560 |
| Provider Name | Carl W Sydnor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619973112 PECOS PAC ID: 8123081254 Enrollment ID: I20091006000056 |
| Provider Name | Susan M Grady |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609990522 PECOS PAC ID: 9931241759 Enrollment ID: I20100116000103 |
| Provider Name | Patrick J Novotny |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356475164 PECOS PAC ID: 4880736602 Enrollment ID: I20100116000165 |
| Provider Name | Sarah E Salee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033347380 PECOS PAC ID: 2163577511 Enrollment ID: I20100507000349 |
| Provider Name | Bita Tabassi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588729099 PECOS PAC ID: 4284762907 Enrollment ID: I20100517000338 |
| Provider Name | Troy A Moats |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528032794 PECOS PAC ID: 6800927377 Enrollment ID: I20100628000067 |
| Provider Name | Matthew L Dugger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932361367 PECOS PAC ID: 4789749763 Enrollment ID: I20100628000080 |
| Provider Name | Noemi Montalvo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740345388 PECOS PAC ID: 2860526423 Enrollment ID: I20100818000221 |
| Provider Name | Joseph Bowling |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346552999 PECOS PAC ID: 9335265446 Enrollment ID: I20100927000726 |
| Provider Name | Aja Bowling |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255667481 PECOS PAC ID: 7911038880 Enrollment ID: I20101206000830 |
| Provider Name | Kevin Jackson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588977508 PECOS PAC ID: 2365630662 Enrollment ID: I20110518000711 |
| Provider Name | Rebecca A Swartzentruber |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154619997 PECOS PAC ID: 7416127733 Enrollment ID: I20110824000472 |
| Provider Name | Harry R Steele |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568563740 PECOS PAC ID: 5698855898 Enrollment ID: I20120204000020 |
| Provider Name | Nicholas L Wolf |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902061849 PECOS PAC ID: 2769530401 Enrollment ID: I20120314000305 |
| Provider Name | Michael Wayne Brumit |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871629592 PECOS PAC ID: 3173790953 Enrollment ID: I20120606000173 |
| Provider Name | Rebecca R Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538473012 PECOS PAC ID: 5496906315 Enrollment ID: I20121127000051 |
| Provider Name | Levi Mansfield |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811242787 PECOS PAC ID: 2961654884 Enrollment ID: I20121128000513 |
| Provider Name | Anthony P Ficarra |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407892888 PECOS PAC ID: 3375796196 Enrollment ID: I20130103000302 |
| Provider Name | Michael Martorana |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124460837 PECOS PAC ID: 6608000997 Enrollment ID: I20130927000142 |
| Provider Name | Justin Coleman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922440494 PECOS PAC ID: 2860626058 Enrollment ID: I20131001000148 |
| Provider Name | Rebecca T Green |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033551510 PECOS PAC ID: 8820222615 Enrollment ID: I20131010000478 |
| Provider Name | Michael A Case |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730521451 PECOS PAC ID: 0648414151 Enrollment ID: I20131113000980 |
| Provider Name | Brian D Rogers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598174468 PECOS PAC ID: 2264754696 Enrollment ID: I20141213000133 |
| Provider Name | Matthew Grant Franklin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932517349 PECOS PAC ID: 8628399870 Enrollment ID: I20150601000676 |
| Provider Name | Stuart Boyd Young |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154706521 PECOS PAC ID: 9739494014 Enrollment ID: I20150814014412 |
| Provider Name | Lauren Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841676095 PECOS PAC ID: 3476868704 Enrollment ID: I20150817000930 |
| Provider Name | Richard Gersh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831254770 PECOS PAC ID: 4486782109 Enrollment ID: I20150824001905 |
| Provider Name | Donald C Mcfadden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356722441 PECOS PAC ID: 7113239104 Enrollment ID: I20150902002524 |
| Provider Name | Crystal S Oliver |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437535648 PECOS PAC ID: 8527360411 Enrollment ID: I20160108002369 |
| Provider Name | Eric J Moreau |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245663632 PECOS PAC ID: 9335457035 Enrollment ID: I20160212001224 |
| Provider Name | Lee A Compton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184178154 PECOS PAC ID: 0446538433 Enrollment ID: I20161026000631 |
| Provider Name | Blake Hayden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831642230 PECOS PAC ID: 4183903883 Enrollment ID: I20161121002512 |
| Provider Name | Joshua Houston |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710337365 PECOS PAC ID: 0547543084 Enrollment ID: I20170208001138 |
| Provider Name | Adam Mueller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639554561 PECOS PAC ID: 5698053668 Enrollment ID: I20170324001261 |
| Provider Name | Judy T Cheng |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407220585 PECOS PAC ID: 9739465899 Enrollment ID: I20170404002546 |
| Provider Name | Tania Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962855437 PECOS PAC ID: 8921384710 Enrollment ID: I20170410001616 |
| Provider Name | Judith Richert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447306519 PECOS PAC ID: 8224314885 Enrollment ID: I20170413001380 |
| Provider Name | Jeffrey K Parnell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831487875 PECOS PAC ID: 4880912740 Enrollment ID: I20170913001955 |
| Provider Name | Hai A Bui |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710400247 PECOS PAC ID: 0648544130 Enrollment ID: I20170921003118 |
| Provider Name | Daniel B Tew |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538681382 PECOS PAC ID: 9638437817 Enrollment ID: I20171215001584 |
| Provider Name | Robin Elizabeth Parnell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063700102 PECOS PAC ID: 5496928079 Enrollment ID: I20180102001370 |
| Provider Name | Wesley Cox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700309556 PECOS PAC ID: 4587922182 Enrollment ID: I20180102001787 |
| Provider Name | Hiral A Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750713103 PECOS PAC ID: 4486880440 Enrollment ID: I20180112002324 |
| Provider Name | Laura E Compton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366979528 PECOS PAC ID: 9133492184 Enrollment ID: I20180112002374 |
| Provider Name | Amy Ruzicka |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508368556 PECOS PAC ID: 8022372887 Enrollment ID: I20180502000415 |
| Provider Name | Keith H Gray |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063465391 PECOS PAC ID: 1052419892 Enrollment ID: I20180612001126 |
| Provider Name | Sara Borders |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891281994 PECOS PAC ID: 1355690108 Enrollment ID: I20180828001053 |
| Provider Name | Ada I Sanchez-juan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861982241 PECOS PAC ID: 0244581965 Enrollment ID: I20180919002761 |
| Provider Name | Zachary T Vonderach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013370600 PECOS PAC ID: 7113279746 Enrollment ID: I20190905003274 |
| Provider Name | Lauren M Bowling |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366963274 PECOS PAC ID: 7416221031 Enrollment ID: I20190913001053 |
| Provider Name | Rachel A Schreiber |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710340211 PECOS PAC ID: 8820425002 Enrollment ID: I20200227002631 |
| Provider Name | Scott J Henry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982664116 PECOS PAC ID: 4082676747 Enrollment ID: I20200310000488 |
| Provider Name | Mashael Al-namaeh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669781670 PECOS PAC ID: 2860640604 Enrollment ID: I20200423001092 |
| Provider Name | Taylor G Brewer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043837610 PECOS PAC ID: 5294159703 Enrollment ID: I20200716002570 |
| Provider Name | Haleigh E Stringer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063039451 PECOS PAC ID: 9739503269 Enrollment ID: I20200716003284 |
| Provider Name | Robert T Whitlow |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255959706 PECOS PAC ID: 3577989110 Enrollment ID: I20200813001876 |
| Provider Name | Andrew H Ammerman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801498878 PECOS PAC ID: 5698189363 Enrollment ID: I20210121000965 |
| Provider Name | Tanner Leigh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063081032 PECOS PAC ID: 5698176493 Enrollment ID: I20210630003593 |
| Provider Name | Stuart H Shake |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982663589 PECOS PAC ID: 2163600073 Enrollment ID: I20210722002312 |
| Provider Name | Rachael Snow White |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841861416 PECOS PAC ID: 5698160877 Enrollment ID: I20220325000591 |
| Provider Name | Karlie Blain Hoelscher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669103032 PECOS PAC ID: 2860872090 Enrollment ID: I20220908002498 |
| Provider Name | Elizabeth Christoff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801888326 PECOS PAC ID: 7517282171 Enrollment ID: I20221114002620 |
| Provider Name | Amanda R Parmer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366017261 PECOS PAC ID: 1254731631 Enrollment ID: I20230208001075 |
| Provider Name | Laura Lee Bowling |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053097824 PECOS PAC ID: 2567822141 Enrollment ID: I20230713003442 |
| Provider Name | Christina Emad Sadek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225729130 PECOS PAC ID: 4486014511 Enrollment ID: I20230720001397 |
| Provider Name | Trevor Neil Trogner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437729670 PECOS PAC ID: 0547621419 Enrollment ID: I20230726000237 |
| Provider Name | Jonathan Bunnell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629755160 PECOS PAC ID: 2961863097 Enrollment ID: I20230804001644 |
| Provider Name | Jacqueline Powell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730889320 PECOS PAC ID: 8527420348 Enrollment ID: I20230810003296 |
| Provider Name | Ron A Haddad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952083958 PECOS PAC ID: 5597127654 Enrollment ID: I20230822000882 |
| Provider Name | Ellen Brooke Kelly |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609508738 PECOS PAC ID: 1355704503 Enrollment ID: I20230906000317 |
| Provider Name | Austin Joseph Dias |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063295723 PECOS PAC ID: 8628431806 Enrollment ID: I20230906001563 |
| Provider Name | Victor M Meyer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538185319 PECOS PAC ID: 3779483938 Enrollment ID: I20230922001567 |
| Provider Name | Mark F Sullivan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093400269 PECOS PAC ID: 2668828674 Enrollment ID: I20231027000816 |
| Provider Name | Alan Michael Cantrell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083996169 PECOS PAC ID: 8820435209 Enrollment ID: I20240320003542 |
| Mailing Address | Practice Location Address |
|---|---|
| Ky Doctors Of Optometry 175 E Houston St, San Antonio, TX 78205-2255 Ph: (210) 524-6803 | Ky Doctors Of Optometry 4655 Outer Loop, Louisville, KY 40219-3970 Ph: (502) 966-2020 |
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 |