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Active NPI 1982767364 Individual Practitioner Male Practitioner

Dr. Wallace Bullard Guerrant , OD

Optometrist • Lexington, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Wallace Guerrant, OD is a certified Optometrist practicing in Lexington, KY. With approximately 35 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 1991, Dr. Guerrant delivers high-quality medical care to the local community at 3180 RICHMOND RD.

Dr. Guerrant is affiliated with Angela Costa Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3180 Richmond Rd

Lexington, KY 405091596

Telephone 8597211827
Fax 8593351535
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1700803020

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Lexington, KY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
35 Yrs +16.6 yrs vs City Avg
City Avg: 18.4 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
96 Specialists

Practicing in Lexington, KY (836 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
13.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Guerrant (35 Years) 35 Yrs
Lexington Specialty Average (18.4 Years) 18.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $180.00 $155.50

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License KY 1214DT

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7100054840 (KY)

Hospital & Practice Group Affiliations

Angela Costa Llc

408 Main St, West Liberty, KY 414721014

Phone: 6067434111

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1205972056

ODPSC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active March 31, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2017

Registered at 3180 RICHMOND RD, LEXINGTON, KY 405091596 (Tel: 8597211827)

📍
Updated Business Mailing Address March 31, 2017

Registered at 3180 RICHMOND RD, LEXINGTON, KY 405091596 (Tel: 8597211827)

👤
Provider Name / Credentials Updated March 31, 2017

Recorded as WALLACE GUERRANT, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2017

Optometrist (License #1214DT in KY)

NPI Profile Active February 17, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location February 17, 2009

Registered at 122 STONE TRACE DR., SUITE A, MT STERLING, KY 40353 (Tel: 8884972117)

📍
Updated Business Mailing Address February 17, 2009

Registered at 122 STONE TRACE DR., SUITE A, MT STERLING, KY 40353 (Tel: 8884972117)

👤
Provider Name / Credentials Updated February 17, 2009

Recorded as WALLACE GUERRANT, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2009

Optometrist (License #1214DT in KY)

🟢
Initial NPI Registration & Enumeration December 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982767364
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2006
Last Update: March 31, 2017
Sole Proprietor: No

Mailing Address

3180 Richmond Rd

Lexington, KY 405091596

Phone: 8597211827

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.