Organization Active NPI

Muha Optometric Group, PLLC

  • Optometrist
  • Morehead, KY
National Provider Identifier
1497925713
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1590DT Issued in KY
Legal business name
MUHA OPTOMETRIC GROUP, PLLC
Practice address
2233 Flemingsburg Road
Morehead, KY 40351
Phone
(606) 784-3937
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Dr. Kevin Mark Muha, O.D.NPI 1891817086
Title
Optometrist
Phone
(859) 492-0162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1590DT KY Primary

Addresses

Primary practice location

2233 Flemingsburg Road
Morehead, KY 40351

Mailing address

3097 Caversham Park LN
Lexington, KY 40509-8501
Phone (859) 492-0162

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100628000832 KY Part B Supplier - Clinic/Group Practice 8527199058 Receives reassigned benefits from 2 practitioners
Practice locations: Morehead, KY

National Provider Directory

National Provider Directory
Tax ID family
Muha Optometric Group PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Walmart Way
Morehead, KY 40351
Phone (606) 784-3266

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1497925713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3097 CAVERSHAM PARK LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098501",
            "telephone_number": "859-492-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 FLEMINGSBURG ROAD",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "40351",
            "telephone_number": "606-784-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUHA OPTOMETRIC GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "MUHA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "859-492-0162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1590DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.