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DONNA ROSE JAMES
NPI 1659227643
Optometrist in Louisville, KY

Active since March 10, 2026PECOS Enrolled
9200 LEESGATE RD, LOUISVILLE, KY 40222(502) 895-0040(502) 365-4050 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 28, 2026, Mar 10, 2026 (2 updates tracked since 2026).

About Donna Rose James NPPES

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

DONNA ROSE JAMES (NPI 1659227643) is an individual optometrist in Louisville, Kentucky, licensed in Kentucky (2477DT) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of Indiana University - School Of Optometry (2026).

NPPES Registry Identity

NPI1659227643
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDONNA ROSE JAMES
Location Address9200 LEESGATE RDLouisville, KY 40222-5173
Mailing AddressPo Box 736502Chicago, IL 60673-1408 · (502) 895-0040
Phone(502) 895-0040
Fax(502) 365-4050
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2026
Enumeration DateMarch 10, 2026
Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1659227643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in KY · 2477DT✔ Licensed in IN · 18004656A
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.
9200 LEESGATE RD, Louisville, KY 40222
Open in Google Maps ↗

Secondary Practice Locations 7

Location 16905B Burlington PikeFlorence, KY 41042-1618 · Phone (859) 282-9999 · Fax (859) 282-9666
Location 2519 State StNew Albany, IN 47150-3620 · Phone (800) 342-5393 · Fax (812) 949-3446
Location 31000 Johnstown Rd Ste 102Elizabethtown, KY 42701-3925 · Phone (270) 769-0099 · Fax (270) 763-0315
Location 46400 Westwind WayCrestwood, KY 40014-6773 · Phone (502) 243-2227 · Fax (502) 243-2237
Location 51935 Bluegrass Ave Ste 200Louisville, KY 40215-1181 · Phone (502) 364-0033 · Fax (502) 361-4488
Location 64010 DuPont Cir Ste 380Louisville, KY 40207-4881 · Phone (502) 895-0040 · Fax (502) 214-3429
Location 773 Quartermaster CtJeffersonville, IN 47130-3623 · Phone (812) 284-0077 · Fax (812) 284-0129

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donna Rose James is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890254585
PECOS Enrollment IDI20260824001713
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.

Medicare Billing Reassignment

Medicare enrollment records show Donna James reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eye Centers Of Louisville,psc
12 mi
Ophthalmology
1935 BLUEGRASS AVE STE 200
Louisville, KY 40215
  • Reassigned Medicare billing, Indiana and Kentucky enrollments
  • 27 clinicians in this Medicare group
NPI 1659385508 (502) 895-0040

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 40222 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 2

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

YAKOUT HATOUM OD
Optometrist
9200 LEESGATE RD
LOUISVILLE, KY 40222
Jefferson County (502) 895-0040
ALEXANDRA LEIGH PASLEY OD
Optometrist
9200 LEESGATE RD
LOUISVILLE, KY 40222
Jefferson County (502) 895-0040

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 Donna James's NPI number?

The NPI number for Donna James is 1659227643. It was assigned to this individual provider in the NPPES registry on March 10, 2026.

Where is Donna James located?

Donna James practices at 9200 Leesgate Rd, Louisville, KY 40222. The listed phone number is (502) 895-0040.

What is Donna James's specialty?

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

Is Donna James enrolled in Medicare?

Yes. Donna James is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donna James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna James reassigns Medicare benefits to Eye Centers Of Louisville,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 Donna James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna James accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and CareSource list Donna James 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 Donna James was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.