EDGEWOOD EYE CENTER
NPI 1821268392
Optometrist in Edgewood, KY

Q: What is Carol Lynn Deitz O D Inc's NPI number?

The NPI number for Carol Lynn Deitz O D Inc is 1821268392. It was assigned to this organization in the NPPES registry on March 11, 2008. The provider is doing business as Edgewood Eye Center.

Q: What is Carol Lynn Deitz O D Inc's specialty?

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

Active since March 11, 2008

581 DUDLEY RD., EDGEWOOD, KY 41017(859) 341-0888(859) 341-3386 Get Directions Write a Review

NPPES record last updated: June 28, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Edgewood Eye Center NPPES

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

EDGEWOOD EYE CENTER (NPI 1821268392) is a healthcare organization registered as an optometrist in Edgewood, Kentucky and active in the NPI registry since March 2008. The organization lists Sheila J King, Manager/optician, as its authorized official.

NPPES Registry Identity

NPI1821268392

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameCAROL LYNN DEITZ O D INC

Location Address581 DUDLEY RD.Edgewood, KY 41017-3296

Mailing Address581 Dudley Rd.Edgewood, KY 41017-3296 · (859) 341-0888 · Fax (859) 341-3386

Phone(859) 341-0888

Fax(859) 341-3386

Organization SubpartNo

Authorized OfficialSheila J KingManager/optician · (859) 341-0888

Enumeration DateMarch 11, 2008

Last NPPES UpdateJune 28, 2016

✔ NPI 1821268392 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 · 1134DT

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 ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 1134DT (KY)

581 DUDLEY RD., Edgewood, KY 41017

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Other Names 1

Doing Business AsEdgewood Eye Center

Other Identifiers 4

Other000000049502KY · Blue Cross Blue Shield

Medicare NSC0845260001KY

Medicare UPINT92078KY

Medicare PIN9296901KY

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 MULTIPLE SINGLE SPECIALTY GROUP

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edgewood Eye Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Edgewood Eye Center, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Christopher Bertke, OD

Optometry

NPI 1528652831

581 DUDLEY PIKE
Edgewood, KY 41017

(859) 341-0888

✔ PECOS✔ Accepts MedicareSame address

Ian Carr, OD

Optometry

NPI 1104017847

581 DUDLEY PIKE
Edgewood, KY 41017

(859) 341-0888

✔ PECOS✔ Accepts MedicareSame address

Carol Deitz-Bertke, O.D.

Optometry

NPI 1538158860

581 DUDLEY PIKE
Edgewood, KY 41017

(859) 341-0888

✔ PECOSSame address

Corey Leach, OD

Optometry

NPI 1427658921

2826 E BASELINE RD # 101
Mesa, AZ 85204

(480) 626-8925

✔ PECOS✔ Accepts Medicare1,563 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Carol Lynn Deitz O D Inc's NPI number?

The NPI number for Carol Lynn Deitz O D Inc is 1821268392. It was assigned to this organization in the NPPES registry on March 11, 2008. The provider is doing business as Edgewood Eye Center.

Where is Carol Lynn Deitz O D Inc located?

Carol Lynn Deitz O D Inc is located at 581 Dudley Rd., Edgewood, KY 41017. The listed phone number is (859) 341-0888.

What is Carol Lynn Deitz O D Inc's specialty?

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

Is Carol Lynn Deitz O D Inc enrolled in Medicare?

Yes. Carol Lynn Deitz O D Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carol Lynn Deitz O D Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Carol Lynn Deitz O D Inc. A 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 the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Carol Lynn Deitz O D Inc 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 BlueCross BlueShield of Tennessee list Carol Lynn Deitz O D Inc 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 Carol Lynn Deitz O D Inc was last updated on June 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.