GUOMIN JIANG OD
NPI 1174175749
Optometrist in Louisville, KY
About Guomin Jiang Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUOMIN JIANG OD (NPI 1174175749) is an individual optometrist in Louisville, Kentucky, licensed in Kentucky (2159DT) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Guomin Jiang Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Guomin Jiang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Louisville, KY 40214
- Reassigned Medicare billing, Kentucky enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Guomin Jiang's NPI number?
The NPI number for Guomin Jiang is 1174175749. It was assigned to this individual provider in the NPPES registry on July 12, 2019.
Where is Guomin Jiang located?
Guomin Jiang practices at 4940 Hazelwood Ave, Louisville, KY 40214. The listed phone number is (502) 368-3937.
What is Guomin Jiang's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Guomin Jiang enrolled in Medicare?
Yes. Guomin Jiang is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Guomin Jiang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Guomin Jiang reassigns Medicare benefits to Kentucky Eye Surgery Associates Psc (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Guomin Jiang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Guomin Jiang accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Guomin Jiang 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 Guomin Jiang was last updated on July 12, 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.
# Guomin Jiang, OD · NPI 1174175749
Optometrist provider in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since July 12, 2019.
## Identity
- **NPI:** 1174175749 (Entity type: Individual)
- **Enumerated:** July 12, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2159DT (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 4940 HAZELWOOD AVE, Louisville, KY 40214-1270
- **Phone:** (502) 368-3937
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Kentucky Eye Surgery Associates Psc (NPI 1588862361, Louisville, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1174175749) · Data from the CMS NPPES public registry.