Individual provider Active NPI

James Kendall Cecil, O.D.

  • Optometrist
  • Pikeville, KY
National Provider Identifier
1053354571
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1043DT Issued in KY
Practice address
3469 N Mayo TRL
Pikeville, KY 41501-3265
Phone
(606) 432-5800
Fax
(606) 437-2307
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1043DT KY Primary

Addresses

Primary practice location

3469 N Mayo TRL
Pikeville, KY 41501-3265

Mailing address

3469 N Mayo TRL
Pikeville, KY 41501-3265
Phone (606) 432-5800

Other identifiers 4

IdentifierTypeStateIssuer
410027123OtherKYRAILROAD MEDICARE
77010437MedicaidKY
000000176212OtherKYANTHEM BC/BS PROVIDER NUM
1043DTOtherKYLICENSE NUMBER

Other names 1

  • J. Kendall Cecil Other name

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
I20050128000576 KY Practitioner - Optometry 0547210635 Reassigns benefits to 3 organizations
Practice locations: Pikeville, KY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of PikevilleGroup PAC ID 6709120942, 18 clinicians
J Kendall CecilGroup PAC ID 1850341934, 2 clinicians

Practice addresses (Care Compare)

147 Sycamore St
Pikeville, KY 41501-9118
Phone (606) 218-5528

3469 N Mayo TRL
Pikeville, KY 41501-3265
Phone (606) 432-5800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
J. Kendall Cecil Optometrist CurrentSince Jan 19, 2013 Accepting new patients
Big Sandy Health Care Inc CurrentSince Sep 13, 2016 Accepting new patients
Big Sandy Health Care Inc Current Accepting new patients
Big Sandy Health Care Inc Current Accepting new patients
Big Sandy Health Care Inc CurrentSince Sep 13, 2016 Accepting new patients
Total Vision Optical PLLC Optometrist Current Accepting new patients
University of Pikeville Optometrist CurrentSince Oct 1, 2018 Accepting new patients
Big Sandy Health Care, Inc Current Accepting new patients

Locations

23 Willow Dr
Auxier, KY 41602
Phone (606) 886-8997

7617 Ky Route 979
Grethel, KY 41631
Phone (606) 587-2200

6500 Highway 645
Ste 110
Inez, KY 41224
Phone (606) 298-3412

169 Burt Rd
Lexington, KY 40503
Phone (859) 278-9242

41 Triangle St
Martin, KY 41649
Phone (606) 218-5540

255 Church St
Ste 102
Pikeville, KY 41501
Phone (606) 432-5800

147 Sycamore St
Pikeville, KY 41501
Phone (606) 218-5250

147 Sycamore St
#858
Pikeville, KY 41501

3469 N Mayo Trl
Pikeville, KY 41501
Phone (606) 432-5800

178 Douglas Pkwy
Pikeville, KY 41501
Phone (606) 639-3135

911 Bypass Rd
#110
Pikeville, KY 41501
Phone (606) 218-6410

1709 Ky Route 321
Ste 3
Prestonsburg, KY 41653
Phone (606) 886-8546

940 Parkway Dr
Salyersville, KY 41465
Phone (606) 298-3412

Interoperability endpoints

  • Direct secure messaging: james.cecil.p1@direct.mtncomp.nextgenshare.com

Organizations & group practices 8

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1053354571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3469 N MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013265",
            "telephone_number": "606-432-5800",
            "fax_number": "606-437-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 N MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013265",
            "telephone_number": "606-432-5800",
            "fax_number": "606-437-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECIL",
        "first_name": "JAMES",
        "middle_name": "KENDALL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-03-07",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1043DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410027123",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77010437",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS PROVIDER NUM",
            "identifier": "000000176212",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1043DT",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J. KENDALL",
            "last_name": "CECIL",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.