Kari Carpenter Mattson I, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

1455DT Issued in KY

Practice address

4051 Nicholasville Rd
Lexington, KY 40503-4432

Phone

(859) 272-1422

Fax

(859) 273-4582

NPI assigned

May 24, 2006

Last updated

Oct 2, 2023By 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 2

Medicare fee-for-service enrollment

Enrolled in KY

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

Pennsylvania College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ky Doctors of Optometry, PLLCGroup PAC ID 0941108732, 64 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Eye Max PLLC

  • Optometrist
  • Lexington, KY
  • NPI 1144362559
  Medicare reassignment NPD Authorized official
• Ky Doctors of Optometry, PLLC

  dba KY Doctors of Optometry

  • Optometrist
  • Louisville, KY
  • NPI 1700890001
  Medicare reassignment Care Compare group
• Eyemax2020

  dba 2020EyeMax

  • Optometrist
  • Lexington, KY
  • NPI 1306443163
  NPD Authorized official
• Eyemax Regional PLLC

  dba Eyemax Regional

  • Optometrist
  • Lexington, KY
  • NPI 1659156677
  NPD

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1306891361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 LARUE",
            "address_2": "APT 109",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405178317",
            "telephone_number": "859-312-2793",
            "fax_number": "859-273-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 NICHOLASVILLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405034432",
            "telephone_number": "859-272-1422",
            "fax_number": "859-273-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTSON",
        "first_name": "KARI",
        "middle_name": "CARPENTER",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1455DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77000040",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000360204",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Analise Mattingly, M.S., CF-SLP
• Scarlet G Mattingly, MSW, CSW
• Sheila Watson Mattingly, RN
• Thaddeus Mattmiller, LCSW
• Marcelo Barbosa de Accioly Mattos, DMD
• Paul Edward Matuszewski, M.D.
• Jennifer Lynn Matzke
• Vinay Maudar, MD
• Jennifer C Mauer, BA
• Jarrett Evan Mauk

• Optometrist in Lexington, KY
• Providers in Lexington, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.