Elizabeth Mauzy Martin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1884DT Issued in KY

Practice address

221 Allen St
Owensboro, KY 42303-4139

Phone

(270) 685-4966

Fax

(270) 686-8058

NPI assigned

Jul 16, 2012

Last updated

Jul 16, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Anne Mauzy Former name

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Kentucky Professional, PLLCGroup PAC ID 6204375165, 13 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emartin.keca@direct.ocuhub.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aeg Kentucky Professional, PLLC

  • Optometrist
  • Alton, IL
  • NPI 1467214080

  KY

  Medicare reassignment Care Compare group NPD
• Riverpark Eyecare PLLC

  • Optometrist
  • Owensboro, KY
  • NPI 1508995895
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1083969034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 ALLEN ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034139",
            "telephone_number": "270-685-4966",
            "fax_number": "270-686-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 ALLEN ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034139",
            "telephone_number": "270-685-4966",
            "fax_number": "270-686-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ELIZABETH",
        "middle_name": "MAUZY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1884DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MAUZY",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Ann Marshall, APRN
• Martin Chiropractic Center
• Martin Dialysis LLC (Owensboro Home Dialysis)
• Achsah Cybill Martin, COTA
• Amy Martin
• Eric Lee Martin, B.A.,D.C.
• Jennifer A Martin, MD
• Jessica Martin, PHARMD
• Lynette K. Martin, M.D.
• Rebecca R. Martin, RN

• Optometrist in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.

Verify at the official NPI Registry.