Active NPI
Micheal Bryan Minix Sr., MD
- Ophthalmology Physician
- Nicholasville, KY
National Provider Identifier
1114132834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 15153
- Practice address
- 2 Olde Village CT
Nicholasville, KY 40356-8497 - Phone
- (859) 219-1256
- NPI assigned
- May 14, 2007
- Last updated
- Sep 10, 2015
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 15153 | KY | Primary |
Addresses
Primary practice location
2 Olde Village CT
Nicholasville, KY 40356-8497
Mailing address
PO Box 910725
Lexington, KY 40591-0725
Phone (859) 948-7369
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64151533 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minix Eye Clinic, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441843200000",
"number": "1114132834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 910725",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405910725",
"telephone_number": "859-948-7369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 OLDE VILLAGE CT",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403568497",
"telephone_number": "859-219-1256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINIX",
"first_name": "MICHEAL",
"middle_name": "BRYAN",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2015-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KY",
"license": "15153",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64151533",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nicholasville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.