Amy Elizabeth Thacker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1605DT Issued in KY

Practice address

499 Indian Mound Dr
Mt Sterling, KY 40353-1096

Phone

(859) 497-9382

Fax

(859) 497-9387

NPI assigned

Aug 28, 2008

Last updated

Aug 28, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Ohio State University - College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Muha Optometric Group, PLLCGroup PAC ID 8527199058, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Muha Optometric Group, PLLC

  • Optometrist
  • Morehead, KY
  • NPI 1497925713
  Medicare reassignment Care Compare group NPD
• Thacker and Associates Eye Care

  • Optometrist
  • Mt Sterling, KY
  • NPI 1427264365
  Authorized official Same address or phone

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1194973461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 INDIAN MOUND DR",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531096",
            "telephone_number": "859-497-9382",
            "fax_number": "859-497-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 INDIAN MOUND DR",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531096",
            "telephone_number": "859-497-9382",
            "fax_number": "859-497-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKER",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1605DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Taylor
• Ray B Terrell, MD
• Terri Keyes Kentuckeyes Chiro (KentucKeyes Chiro)
• Stacy Terry, RN
• Thacker and Associates Eye Care
• Thomas C. Thornberry, M.D., LLC
• Rebecca Thomas
• Amy Thompson, PHARM.D.
• Lukas Thompson
• Tanner Thompson

• Optometrist in Mt Sterling, KY
• Providers in Mt Sterling, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.