Individual provider Active NPI

Mary Catherine West, O.D.

  • Optometrist
  • Grayson, KY
National Provider Identifier
1346450533
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1719DT Issued in KY
Practice address
313 S Carol Malone Blvd
Grayson, KY 41143-1357
Phone
(606) 474-7833
Fax
(606) 474-3563
NPI assigned
May 23, 2007
Last updated
Nov 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1719DT KY Primary
Optometrist 152W00000X 5648 OH

Addresses

Primary practice location

313 S Carol Malone Blvd
Grayson, KY 41143-1357

Mailing address

1120 Norwood Ave
Ashland, KY 41102-5258
Phone (740) 612-2775

Other practice location 1

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-8999

Other identifiers 2

IdentifierTypeStateIssuer
9866058OtherAETNA
000000530225OtherANTHEM

Other names 1

  • Dr. Mary Catherine Payton Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071011000045 KY Practitioner - Optometry 5799871414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weber West Eye Care, PSCGroup PAC ID 6507140225, 2 clinicians

Practice addresses (Care Compare)

2119 Carter Ave
Ashland, KY 41101-7733
Phone (606) 329-2243

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
78.19
Promoting interoperability
100
Improvement activities
40
Cost
70.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1719DTKYMDOptometrist
5648OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Weber West Eye Care, PSC Optometrist CurrentSince Sep 1, 2016 Accepting new patients
University of Kentucky CurrentSince Dec 1, 2022 Accepting new patients
University of Kentucky Past Accepting new patients

Locations

2119 Carter Ave
Ashland, KY 41101
Phone (606) 329-2243

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1346450533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 NORWOOD AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411025258",
            "telephone_number": "740-612-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S CAROL MALONE BLVD",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431357",
            "telephone_number": "606-474-7833",
            "fax_number": "606-474-3563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411012843",
            "country_code": "US",
            "telephone_number": "606-408-8999",
            "fax_number": "606-408-6069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1719DT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5648",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9866058",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000530225",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "PAYTON",
            "middle_name": "CATHERINE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grayson, KY

Sources for this page

Verify at the official NPI Registry.