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DR. DONALD L RICHARDSON O.D.
NPI 1003904004
Optometrist in Somerset, KY

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
246 POPLAR AVE, SUITE 1, SOMERSET, KY 42503(606) 679-5588(606) 677-9394 Get Directions Write a Review

NPPES record last updated: May 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Donald L Richardson O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DONALD L RICHARDSON O.D. (NPI 1003904004) is an individual optometrist in Somerset, Kentucky, licensed in Kentucky (991DTKY) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1981).

NPPES Registry Identity

NPI1003904004
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DONALD L RICHARDSONCredential: O.D.
Location Address246 POPLAR AVE, SUITE 1Somerset, KY 42503-1701
Mailing Address246 Poplar Ave, Suite 1Somerset, KY 42503-1701 · (606) 679-5588 · Fax (606) 677-9394
Phone(606) 679-5588
Fax(606) 677-9394
Sole ProprietorYes
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1981
Enumeration DateOctober 11, 2006
Last NPPES UpdateMay 26, 2015
✔ NPI 1003904004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in KY · 991DTKY
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
246 POPLAR AVE, Somerset, KY 42503
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Other Identifiers 3

Medicaid77009918KY
Other9213501KY · Medicare
Medicare UPINT54706KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Donald L Richardson O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264481761
PECOS Enrollment IDI20050121000121
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
183 services181 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services45 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LINDA HATCHER OPTHALMIC DISPENSER
Technician/Technologist (Optician)
246 POPLAR AVE, SUITE 1
SOMERSET, KY 42503
Pulaski County (606) 679-8469
LIFELINE HOMECARE INC.
In Home Supportive Care
246 POPLAR AVE, SUITE 3
SOMERSET, KY 42503
Pulaski County (606) 678-4032
HR OPTICAL INC
Technician/Technologist (Optician)
246 POPLAR AVE, STE 1
SOMERSET, KY 42503
Pulaski County (606) 679-8469

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald Richardson's NPI number?

The NPI number for Donald Richardson is 1003904004. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Donald Richardson located?

Donald Richardson practices at 246 Poplar Ave Suite 1, Somerset, KY 42503. The listed phone number is (606) 679-5588.

What is Donald Richardson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Donald Richardson enrolled in Medicare?

Yes. Donald Richardson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Donald Richardson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Donald Richardson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donald Richardson was last updated on May 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.