Active NPI
Michael A Milby, OD PSC
- Optometrist
- Lexington, KY
National Provider Identifier
1205972056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- KY 932 DT
- Practice address
- 3180 Richmond Rd
Lexington, KY 40509-1596 - Phone
- (859) 269-0040
- NPI assigned
- Jan 29, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | KY 932 DT | KY | Primary |
Addresses
Primary practice location
3180 Richmond Rd
Lexington, KY 40509-1596
Mailing address
PO Box 24635
Lexington, KY 40524-4635
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77009322 | Medicaid | KY | |
| 42415 | Other | KY | SPECTERA |
| 000000321715 | Other | KY | ANTHEM BCBS |
| 35630 | Other | KY | AVESIS |
| 5660 | Other | KY | CHA |
| T54651 | Other | KY | BLUEGRASS FAMILY HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY 932 DT | KY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205972056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24635",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405244635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3180 RICHMOND RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091596",
"telephone_number": "859-269-0040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILBY",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "OD PSC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "KY 932 DT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77009322",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "42415",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000321715",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVESIS",
"identifier": "35630",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA",
"identifier": "5660",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUEGRASS FAMILY HEALTH",
"identifier": "T54651",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.