Active NPI
Kelly Huynh, OD
- Optometrist
- Lexington, KY
National Provider Identifier
1528796760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35169
- Practice address
- 2250 Leestown Rd
Lexington, KY 40511-1052 - Phone
- (859) 233-4511
- NPI assigned
- Aug 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35169 | CA | Primary |
Addresses
Primary practice location
2250 Leestown Rd
Lexington, KY 40511-1052
Mailing address
2380 Lake Park Rd Apt 914
Lexington, KY 40502-6601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3025 Hamaker CT
Suite 101
Fairfax, VA 22031-2229
Phone (703) 876-9630
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.53 of 100
- Quality
- 92.86
- Improvement activities
- 40
- Cost
- 77.97
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 178 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35169 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James W Mattern OD, PLLC | Optometrist | Current | Accepting new patients |
Locations
3025 Hamaker Ct
Ste 101
Fairfax, VA 22031
Phone (703) 876-9630
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660435200000",
"number": "1528796760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2380 LAKE PARK RD APT 914",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405026601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 LEESTOWN RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405111052",
"telephone_number": "859-233-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "KELLY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-14",
"last_updated": "2022-08-14",
"certification_date": "2022-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; 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.