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DALE SOULEYRETTE OD
NPI 1205991791
Optometrist in Elizabethtown, KY

Active since December 26, 2006PECOS EnrolledAccepts Medicare Assignment
1709 N DIXIE AVE STE 101, ELIZABETHTOWN, KY 42701(270) 765-2020(502) 765-4482 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dale Souleyrette Od NPPES

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

DALE SOULEYRETTE OD (NPI 1205991791) is an individual optometrist in Elizabethtown, Kentucky, licensed in Kentucky (1141DT) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1205991791
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDALE SOULEYRETTECredential: OD
Location Address1709 N DIXIE AVE STE 101Elizabethtown, KY 42701-9496
Mailing Address11103 West Ave, Suite 6San Antonio, TX 78213-1370 · (210) 524-6663 · Fax (210) 524-6587
Phone(270) 765-2020
Fax(502) 765-4482
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateDecember 26, 2006
Last NPPES UpdateMarch 5, 2019
✔ NPI 1205991791 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 · 1141DT
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.
1709 N DIXIE AVE STE 101, Elizabethtown, KY 42701
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Secondary Practice Locations 2

Location 11609 N Dixie HwyElizabethtown, KY 42701-6473 · Phone (270) 765-7372 · Fax (270) 737-3936
Location 2544 Conestoga Pkwy Ste 17Shepherdsville, KY 40165-5677 · Phone (502) 955-2020 · Fax (502) 736-4488

Other Identifiers 1

Medicaid77011419KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian 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

Dale Souleyrette Od 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 ID7517018989
PECOS Enrollment IDI20090624000512
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 4

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
2,389 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
115 services111 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42701 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.

DR. LEXIE TURPIN HONEY OD
Optometrist
1709 N DIXIE AVE STE 101
ELIZABETHTOWN, KY 42701
Hardin County (606) 219-1721
CLARKSON OPTOMETRY MIDWEST INC.
Optometrist
1709 N DIXIE AVE STE 101
ELIZABETHTOWN, KY 42701
Hardin County (636) 200-4393
CAYLEN T CRAFT
Optometrist
1709 N DIXIE AVE STE 101
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2020

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 Dale Souleyrette's NPI number?

The NPI number for Dale Souleyrette is 1205991791. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is Dale Souleyrette located?

Dale Souleyrette practices at 1709 N Dixie Ave Ste 101, Elizabethtown, KY 42701. The listed phone number is (270) 765-2020.

What is Dale Souleyrette's specialty?

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

Is Dale Souleyrette enrolled in Medicare?

Yes. Dale Souleyrette 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 Dale Souleyrette accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee and 5 other insurers list Dale Souleyrette 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 Dale Souleyrette was last updated on March 5, 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.