Mackenzie Speers

Primary specialty

OptometristTaxonomy code 152W00000X

License

18004158A Issued in IN

Practice address

305 Main St
Brookville, IN 47012-1363

Phone

(765) 547-1325

Fax

(765) 547-1327

NPI assigned

Jun 6, 2019

Last updated

Jun 6, 2019By 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

Medicare fee-for-service enrollment

Enrolled in IN

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

K Andrew Yaryan OD LLCGroup PAC ID 3476683160, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• K Andrew Yaryan OD LLC

  • Optometrist
  • Connersville, IN
  • NPI 1053638403
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1255990099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473310427",
            "telephone_number": "765-825-4127",
            "fax_number": "765-827-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MAIN ST",
            "city": "BROOKVILLE",
            "state": "IN",
            "postal_code": "470121363",
            "telephone_number": "765-547-1325",
            "fax_number": "765-547-1327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 N Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Connersville",
            "state": "IN",
            "postal_code": "473311935",
            "country_code": "US",
            "telephone_number": "765-825-4127",
            "fax_number": "765-827-6577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEERS",
        "first_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004158A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Scott, LCSW, LISW
• Lea Michelle Seals, MS, RD, LD, CSP
• Stacy M Siefert, FNP
• Amanda Smith, DT
• Ashley Renee Sparks
• Leslie Stang
• Emily Striegler, LMHC
• Nathan Striegler, LMHC
• Joan Suding, RN
• Rachel Sweet, PT

• Optometrist in Brookville, IN
• Providers in Brookville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.