Kimberly Mayo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003914 Issued in IN

Practice address

403 Walnut St
Lawrenceburg, IN 47025-2411

Phone

(812) 537-2020

NPI assigned

Jul 1, 2015

Last updated

Jul 29, 2024By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, KY2 enrollments

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 2

Specialty

Optometry

Education

Indiana University - School of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hudson Eye Center, LLCGroup PAC ID 0648421230, 3 clinicians

Lawrenceburg Eye Center, LLCGroup PAC ID 7618309840, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Lawrenceburg Eye Center, LLC

  • Optometrist
  • Lawrenceburg, IN
  • NPI 1730640152
  Medicare reassignment Care Compare group NPD
• Hudson Eye Center, LLC

  dba Hudson Eye Center

  • Optometrist
  • Walton, KY
  • NPI 1770848582
  Medicare reassignment Care Compare group NPD
• Indiana University

  dba Indianapolis Eye Care Center

  • Optometrist
  • Indianapolis, IN
  • NPI 1497799787
  Medicare reassignment NPD
• Lisle Family Eye Care Inc

  • Optometrist
  • North Vernon, IN
  • NPI 1518904655
  Medicare reassignment NPD
• Indiana University

  dba Indiana University School of Dentistry

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1689790552
  NPD
• Lisle Family Eye Care Inc

  dba The Eye Care Group

  • Optometrist
  • Seymour, IN
  • NPI 1053973438
  NPD
• Lisle Family Eye Care Inc

  dba Eye Care Group

  • Optometrist
  • Vevay, IN
  • NPI 1417348525
  NPD (past)
• Bluegrass Retina Consultants, PSC

  • Ophthalmology Physician
  • Lexington, KY
  • NPI 1396859260
  NPD (past)

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1265815856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WALNUT ST",
            "address_2": "STE A",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470252411",
            "telephone_number": "812-855-3670",
            "fax_number": "812-855-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WALNUT ST",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470252411",
            "telephone_number": "812-537-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "KIMBERLY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201300820",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malissa Martin, EDD, ATC
• Susan Anita Martin, FNP-C
• Meghan Martini, DDS
• Gloria Martz, D.O.
• Carleen Renee May, MPT
• Mark R McAndrew, M.D.
• Michael E McAndrew, M.D.
• Rhonda Lee McCrory, RN
• Donald Lawrence McGlothin, SOCIAL WORKER
• Brittan D Mefford, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.