Individual provider Active NPI

Terry Alan Kay, OD

  • Optometrist
  • Kaufman, TX
National Provider Identifier
1275644528
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2718T Issued in TX
Practice address
1915 South Washington Street
Kaufman, TX 75142-3435
Phone
(972) 932-6220
Fax
(972) 932-6905
NPI assigned
Aug 31, 2006
Last updated
Oct 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2718T TX Primary

Addresses

Primary practice location

1915 South Washington Street
Kaufman, TX 75142-3435

Mailing address

1915 South Washington Street
Kaufman, TX 75142-3435
Phone (972) 932-6220

Other identifiers 2

IdentifierTypeStateIssuer
920897MedicaidTX
10710OtherTXSPECTERA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20120125000507 TX Practitioner - Optometry 0840467270 Practice locations: Kaufman, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1915 S Washington St
Kaufman, TX 75142-3435
Phone (972) 932-6220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2718TTXMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1275644528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 SOUTH WASHINGTON STREET",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751423435",
            "telephone_number": "972-932-6220",
            "fax_number": "972-932-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 SOUTH WASHINGTON STREET",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751423435",
            "telephone_number": "972-932-6220",
            "fax_number": "972-932-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAY",
        "first_name": "TERRY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2718T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "920897",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "10710",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaufman, TX

Sources for this page

Verify at the official NPI Registry.