DONALD WALTER BENNETT OD MD NPI 1013991165

NPI Information

  • NPI: 1013991165
  • Provider Name: DONALD WALTER BENNETT, OD MD
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1935 BLUEGRASS AVE
    SUITE 200
    LOUISVILLE, KY
    ZIP 40215
  • Phone: (502) 895-0040

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NPI Details

Donald Walter Bennett, OD MD is an ophthalmology in Louisville, KY. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Donald Walter Bennett, OD MD NPI is 1013991165. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1935 BLUEGRASS AVE
SUITE 200
LOUISVILLE, KY
ZIP 40215-179
Phone: (502) 895-0040
Fax: (502) 361-4488

The NPI 1013991165 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/2/2005 and was last updated on 9/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology23368KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11454001MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
20249501MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
30365501MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
4331420AMEDICARE ID-TYPE UNSPECIFIEDINDIANA
5C76151MEDICARE UPIN
664233687MEDICAIDKENTUCKY
7200101170MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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