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BLUEGRASS VISION GROUP PLLC
NPI 1073060224
Optometrist in Mount Sterling, KY

Active since September 06, 2016CLIA 18D2176734 · Waiver
25 STERLING WAY, SUITE C, MOUNT STERLING, KY 40353(859) 498-4800(859) 498-2021 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2019, Dec 18, 2018 (2 updates tracked since 2018).

About Bluegrass Vision Group Pllc NPPES

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

BLUEGRASS VISION GROUP PLLC (NPI 1073060224) is a healthcare organization registered as an optometrist in Mount Sterling, Kentucky and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Justin E Coleman, Owner, as its authorized official.

NPPES Registry Identity

NPI1073060224
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBLUEGRASS VISION GROUP PLLC
Location Address25 STERLING WAY, SUITE CMount Sterling, KY 40353-1174
Mailing Address25 Sterling Way, Suite CMount Sterling, KY 40353-1174 · (859) 498-4800 · Fax (859) 498-2021
Phone(859) 498-4800
Fax(859) 498-2021
Organization SubpartNo
Authorized OfficialJustin E ColemanOwner · (859) 498-4800
Enumeration DateSeptember 6, 2016
Last NPPES UpdateJanuary 8, 20192 updates tracked since enumeration
✔ NPI 1073060224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
25 STERLING WAY, Mount Sterling, KY 40353
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Other Identifiers 1

Medicaid7100463130KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2176734

Bluegrass Vision Group, PLLC · Mount Sterling, KY
Active · expires Dec 22, 2027
CLIA Number18D2176734
Laboratory TypePractitioner Other
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Justin E. Coleman
Laboratory Phone(859) 498-4800
Laboratory LocationBluegrass Vision Group, PLLC25 Sterling Way, Ste C, Mount Sterling, KY 40353
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Bluegrass Vision Group PLLC carries, from the Medicare DMEPOS supplier directory.

Bluegrass Vision Group PLLC

DMEPOS supplier · Mount Sterling, KY
✔

Accepts Medicare assignment

Bluegrass Vision Group PLLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20461493
Medicare Participant SinceJune 1, 2017
Supplier Location25 Sterling Way Ste CMount Sterling, KY 40353
Phone(859) 498-4800
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

DR. ELLEN MARIE GRUBB O.D.
Optometrist
25 STERLING WAY, SUITE C
MT STERLING, KY 40353
Montgomery County (859) 498-4800
DR. JUSTIN ERIC COLEMAN O.D.
Optometrist
25 STERLING WAY, STE C
MOUNT STERLING, KY 40353
Montgomery County (859) 498-4800

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 Bluegrass Vision Group PLLC's NPI number?

The NPI number for Bluegrass Vision Group PLLC is 1073060224. It was assigned to this organization in the NPPES registry on September 6, 2016.

Where is Bluegrass Vision Group PLLC located?

Bluegrass Vision Group PLLC is located at 25 Sterling Way Suite C, Mount Sterling, KY 40353. The listed phone number is (859) 498-4800.

What is Bluegrass Vision Group PLLC's specialty?

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

Does Bluegrass Vision Group PLLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Bluegrass Vision Group PLLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Bluegrass Vision Group PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2176734) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bluegrass Vision Group PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list Bluegrass Vision Group PLLC 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 Bluegrass Vision Group PLLC was last updated on January 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.