DR. JOHN MICHAEL SODERLING OD NPI 1225029556

NPI Information

  • NPI: 1225029556
  • Provider Name: DR. JOHN MICHAEL SODERLING, OD
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 136 E MAIN CROSS ST
    GREENVILLE, KY
    ZIP 42345
  • Phone: (270) 338-9636

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NPI Details

DR. John Michael Soderling, OD is an optometrist in Greenville, KY with 34 years of experience. The provider is 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. DR. John Michael Soderling, OD NPI is 1225029556. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year:1992

The provider's business location address is:

136 E MAIN CROSS ST
GREENVILLE, KY
ZIP 42345-576
Phone: (270) 338-9636
Fax: (270) 338-9639

The NPI 1225029556 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).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient complete exam of visual system (HCPCS:92014)
  • New patient complete exam of visual system (HCPCS:92004)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 11/4/2005 and was last updated on 11/21/2011.

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
1152W00000XOptometrist1281DTKENTUCKYYes

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
1U53300MEDICARE UPIN
2297436OTHEROPTICHOICE
325125OTHERGE
4DB4678OTHERRAILROAD MEDICARE GROUP
5180034OTHERNVA
621435OTHERAVESIS
777012813MEDICAIDKENTUCKY
85048640001MEDICARE PINKENTUCKY
9KY1281OTHEREYEMED
10P00107376OTHERRAILROAD MEDICARE
110909002MEDICARE ID-TYPE UNSPECIFIED

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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