Myeyedr Optometry of Kentucky, PLLC
Organization Active NPI Optometrist · Lexington, KY
NPI 1265399620 · NPPES record last updated Jan 7, 2026
Key facts
- NPI
- 1265399620
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- MYEYEDR OPTOMETRY OF KENTUCKY, PLLC
- Practice address
- 3221 Summit Square PL Ste 200
Lexington, KY 40509-2655 - Phone
- (859) 303-6464
- Fax
- (859) 303-6465
- NPI assigned
- Jan 7, 2026
- Organization subpart
- No
Authorized official
- Name
- Sue Ann Downes
- Title
- Secretary
- Phone
- (785) 492-5871
Other NPIs on the same Medicare enrollment 8
Corporate family (same tax ID) 9
Practitioners 24
-
Matthew D'Arsie, OD
-
Matthew Dayringer, O.D.
-
Spencer Gabbard, O.D.
-
Allison L Harmon, OD
-
Brett A Hines, O.D.
-
Rebecca Hope Lanham, O.D.
-
Jacob Anthony Michael, O.D.
-
Jeremy Lee Penn, OD
-
Angela M Scifres, O.D.
-
Mark D Stovall, OD
-
Whitney Watson, O.D.
-
Chloe Ann Janson, OD
-
Mark Wayne Lantz, OD
-
Kelly Reitzes, O.D.
-
Zachary Stapleton, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190814002176 | KY | Part B Supplier - Clinic/Group Practice | 1951638964 |
Receives reassigned benefits from 23 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Newport, KY; Louisville, KY; Lexington, KY; Cynthiana, KY; Crescent Springs, KY; Cold Spring, KY; Florence, KY |
National Provider Directory
- Tax ID family
- Myeyedr Optometry of Kentucky PLLC
Locations
3221 Summit Square Pl
Ste 200
Lexington, KY 40509
Phone (859) 303-6464
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
3221 Summit Square PL Ste 200
Lexington, KY 40509-2655
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.