Individual provider Active NPI

Bryan Justin Fields, OD

  • Optometrist
  • Lexington, KY
National Provider Identifier
1023753316
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2274DT Issued in KY
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

Updated by the provider on Nov 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230331001906 KY Practitioner - Optometry 0143695304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Family First Vision Care Kentucky LLCGroup PAC ID 3577975291, 19 clinicians

Practice addresses (Care Compare)

3801 Mall Rd
Suite 115
Lexington, KY 40503-4492
Phone (859) 278-5443

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Vision Care Kentucky, LLC Optometrist CurrentSince Dec 25, 2022 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.

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

Verify at the official NPI Registry.