Active NPI
Bryan Justin Fields, OD
- Optometrist
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2274DT
- Practice address
- 3801 Mall Rd
Lexington, KY 40503-4466 - Phone
- (859) 278-5443
- Fax
- (859) 201-1040
- NPI assigned
- May 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2274DT | KY | Primary |
Addresses
Primary practice location
3801 Mall Rd
Lexington, KY 40503-4466
Mailing address
3801 Mall Rd
Lexington, KY 40503-4466
Phone (859) 595-7711
Other practice location 1
3735 Palomar Centre Dr Ste 170
Lexington, KY 40513-1121
Phone (859) 271-2020
Other practice location 2
105 Crossfield Dr
Versailles, KY 40383-1444
Phone (859) 879-3665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3801 Mall Rd
Suite 115
Lexington, KY 40503-4492
Phone (859) 278-5443
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Vision Care Kentucky, LLC | Optometrist | Current | Accepting new patients |
Locations
614 Buttermilk Pike
Crescent Springs, KY 41017
Phone (859) 320-0221
3801 Mall Rd
Lexington, KY 40503
Phone (859) 278-5443
3801 Mall Rd
Ste 115
Lexington, KY 40503
Phone (859) 277-2020
3735 Palomar Centre Dr
Lexington, KY 40513
Phone (859) 223-0701
3735 Palomar Centre Dr
Ste 170
Lexington, KY 40513
Phone (859) 271-2020
105 Crossfield Dr
Versailles, KY 40383
Phone (859) 873-3665
316 S Hamilton Rd
Gahanna, OH 43230
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Ft Mitchell, KY
- NPI 1396396750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1023753316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 MALL RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405034466",
"telephone_number": "859-595-7711",
"fax_number": "859-277-6332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 MALL RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405034466",
"telephone_number": "859-278-5443",
"fax_number": "859-201-1040"
}
],
"practiceLocations": [
{
"address_1": "3735 Palomar Centre Dr Ste 170",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405131121",
"country_code": "US",
"telephone_number": "859-271-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 Crossfield Dr",
"address_purpose": "LOCATION",
"city": "Versailles",
"state": "KY",
"postal_code": "403831444",
"country_code": "US",
"telephone_number": "859-879-3665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIELDS",
"first_name": "BRYAN",
"middle_name": "JUSTIN",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-01",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "2274DT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.