MARY ELIZABETH GRAHAM
NPI 1356030993
Optometrist in Louisville, KY

Q: What is Mary Graham's NPI number?

The NPI number for Mary Graham is 1356030993. It was assigned to this individual provider in the NPPES registry on May 1, 2023. The provider is also known as Mary Elizabeth Holder.

Q: What is Mary Graham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Graham was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since May 01, 2023PECOS EnrolledAccepts Medicare Assignment

6828 BARDSTOWN RD, LOUISVILLE, KY 40291(502) 231-2020 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2023, May 1, 2023 (2 updates tracked since 2023).

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About Mary Elizabeth Graham NPPES

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

MARY ELIZABETH GRAHAM (NPI 1356030993) is an individual optometrist in Louisville, Kentucky, licensed in Kentucky (2349DT) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Indiana University - School Of Optometry (2023).

NPPES Registry Identity

NPI1356030993

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameMARY ELIZABETH GRAHAM

Location Address6828 BARDSTOWN RDLouisville, KY 40291-3050

Mailing AddressPo Box 207170Dallas, TX 75320-7170 · (636) 200-4393 · Fax (636) 527-0766

Phone(502) 231-2020

Sole ProprietorNo

Medical School CMSIndiana University - School Of OptometryGraduated 2023

Enumeration DateMay 1, 2023

Last NPPES UpdateJanuary 16, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2025

✔ NPI 1356030993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in KY · 2349DT

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6828 BARDSTOWN RD, Louisville, KY 40291

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Other Names 1

Former Name (1)Mary Elizabeth Holder

Secondary Practice Locations 3

Location 110639 Dixie HwyLouisville, KY 40272-4349 · Phone (502) 933-9200

Location 2544 Conestoga Pkwy Ste 17Shepherdsville, KY 40165-5677 · Phone (502) 955-2020

Location 310232 Westport RdLouisville, KY 40241-2148 · Phone (502) 339-2042

Accepted Insurance

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

Mary Elizabeth Graham 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 ID4587027487

PECOS Enrollment IDI20230824003738

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 6

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.

50 services50 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.

28 services28 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

26 services20 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

24 services21 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.

21 services21 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.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40291 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 5

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

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